* Please fill in all applicable fields, as incomplete applications may cause a delay in processing.
Personal Information
*First Name:
*Last Name:
*Are you employed now?	Yes No
*Home Address Line 1:
Home Address Line 2:
*City:
*Province/State:
*Postal Code/ZIP:
*Country:
*Phone (include area/country code):
*E-Mail:
*What type of work are you applying for?
*Lumber Grading Ticket:	Yes No
*Scaling Ticket:	Yes No
*Air Ticket:	Yes No
*Drivers Licence:	No License Class 8 Class 7 Class 6 Class 5 Class 4 Class 3 Class 2 Class 1
*Do you have Steel Toed Boots?	Yes No
*Do you have reliable transportation?	Yes No
*Do you have any previous injuries you feel may affect your ability to perform the necessary job functions?	Yes No
Elementary or Secondary School
*Years:
*Certificate, Diploma or Degree Earned:
*Place of Educational Institution:
Community College
*Years:
*Certificate, Diploma or Degree Earned:
*Place of Educational Institution:
Business, Trade or Technical School
*Years:
*Certificate, Diploma or Degree Earned:
*Place of Educational Institution:
Other Source of Education
*Years:
*Certificate, Diploma or Degree Earned:
*Place of Educational Institution:
Previous Employer Information #1 (Current or Last Employer)
*Name of last Employer (Company):
*Wages (numbers only):	$
*Type of Work:
*Position:
*Why did you leave this employer?
*Date Started (YYYY-MM-DD):
*Last Date Worked (YYYY-MM-DD):
*Previous Employer Address Line 1:
Previous Employer Address Line 2:
*City:
*Province/State:
*Postal Code/ZIP:
*Country:
*Phone (include area/country code):
*May we contact this employer for a reference?	Yes No
Previous Employer Information #2
Name of last Employer (Company):
*Wages (numbers only):	$
Type of Work:
Position:
Why did you leave this employer?
Date Started (YYYY-MM-DD):
Last Date Worked (YYYY-MM-DD):
Previous Employer Address Line 1:
Previous Employer Address Line 2:
City:
Province/State:
Postal Code/ZIP:
Country:
Phone (include area/country code):
May we contact this employer for a reference?	Yes No
Previous Employer Information #3
Name of last Employer (Company):
*Wages (numbers only):	$
Type of Work:
Position:
Why did you leave this employer?
Date Started (YYYY-MM-DD):
Last Date Worked (YYYY-MM-DD):
Previous Employer Address Line 1:
Previous Employer Address Line 2:
City:
Province/State:
Postal Code/ZIP:
Country:
Phone (include area/country code):
May we contact this employer for a reference?	Yes No
Additional Info
*Please add anything else you would like us to know about you
PLEASE READ CAREFULLY BEFORE SUBMITING: The information given on this form is complete and correct. I understand that false information may be considered cause for dismissal and that permanent employment is dependent upon satisfactory completion of 90 shifts of work within a 6 calendar month period and the verification of references. I also understand that, subject to an interview, I may be accepted onto the Kalesnikoff Spare Board and will be expected to be available for work.

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