Winroc

Winroc a division of Superior Plus LP
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 Corporate Head Office
4949-51 St. SE
Calgary, AB, Canada
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Employment Application

Employment Application

Location

 

Identification

Last Name *
Middle Name *
First Name *
any prior last names *
Current Address *

Province (eg. ab):  Postal Code:

Home Phone: *
Other Phone:
Email *
ARE YOU LEGALLY ENTITLED TO WORK IN CANADA?
(proof may be required as condition of hire)
yes no

Job Intrests

Position(s) desired
are you employed now? *   yes no
salary or wage requirement:
date available for employment: *
have you ever been employed by winroc before? *

yes

if yes, when and where.

 no
have you ever been convicted of a criminal offence for which a pardon has not been granted? * yes

if yes, when, where, nature of offence, disposition.
 no
are you on layoff status or subject to recall?  yes no

Education

SCHOOLS CITY PROVINCE COMPLETED? MAJOR DEGREE,DIPLOMA, CERT. RECIEVED
HIGH SCHOOL
College, University
GRAD, TECH, BUSS.
Technical or professional affiliations: *
Are you now continuing your education (how, where):

Work References

(Do not include relatives) Give the names of three people preferably business or work associates.

Reference #1
Name: *
Address: *
Occupation: *
Phone: *
Firm: *
Reference #2
Name: *
Address: *
Occupation: *
Phone: *
Firm: *
Reference #3
Name: *
Address: *
Occupation: *
Phone: *
Firm: *

Disclaimer

It is the intent and desire of WINROC that, as required by law, race, creed, colour, religous beliefs, political beliefs, gender or gender - determined characteristics or circumstances, sexual orientation, marital status, age, ancestry, place of origin, physical or mental disability or source of income or receipt of public assistance will not be a factor in selection for employment. If, through inadvertance, this form asks for any information that is prohibited by law, the applicant shall not provide the information.

1. Employment (list current or most recent first)

Employer: *
Position: *
Wage / Salary: *
Other Compensation:
Address: *
City: *
Province: *
Postal Code: *
Nature of Duties: *
Phone: *
Supervisor: *
Date Employed: * start end
Reason for Leaving: *

2. Employment (list current or most recent first)

Employer:
Position:
Wage / Salary:
Other Compensation:
Address:
City:
Province:
Postal Code:
Nature of Duties:
Phone:
Supervisor:
Date Employed: start end
Reason for Leaving:

3. Employment (list current or most recent first)

Employer:
Position:
Wage / Salary:
Other Compensation:
Address:
City:
Province:
Postal Code:
Nature of Duties:
Phone:
Supervisor:
Date Employed: start end
Reason for Leaving:

Drivers Only

Drivers Licence No:
Date Of Birth:
Enter the confirmation code* :

Superior Plus Allroc