Job Application Form - Northwest Door Canada Ltd

Personal Information

Name*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone*

Mobile Phone

Email*

Availability

Date of Application*

Date Available to Work*

Hours Available*

Position Applied For*

Shift(s) Available For*

Days
Swing

Employment Desired (check all that apply)*

Full Time
Part Time
Temp

Available for Weekends/Overtime?*

Yes
No

Have you been employed here before?*

Yes
No

If you have been employed here before, when was it?

Which Department did you work in?

If you have a relative or friend who has or still works at NWD, please list:

Are you 18 years of age or older?*

Yes
No

Are you legally eligible for employment in this country?*

Yes
No

Have you ever been convicted of a criminal offence for which a pardon has not been granted? If yes, please explain.*

Yes
No

(If yes, please explain below. A conviction may be relevant if job-related, but may not bar you from employment.)

Conviction Details

Skills

In which of the following do you believe yourself to be trained or experienced? Indicate below the skills that you are able to perform, with or without accommodation. If accommodation is required, please specify. (We comply with laws regarding employment of persons with disabilities.)

Forklift*

Yes
No

Router*

Yes
No

Air Tools*

Yes
No

Band Saw*

Yes
No

Radial Arm Saw*

Yes
No

Steel Tape Measure*

Yes
No

Relevant Licenses you possess, State of Issue, and Expiration Date

Summarize skills and qualifications acquired from employment and other experiences that may qualify you for the position you are applying

Education

High School/G.E.D. Name*

High School/GED City and State:

High School/GED # Years Completed:

High School/GED Graduated?*

Yes
No

College/University Name

College/University City and State:

College/University Course of Study:

College/University # Years Completed:

College/University Graduated?

Yes
No

Business/Trade School Name

Business/Trade School City and State:

Business/Trade School Course of Study:

Business/Trade School # Years Completed:

Business/Trade School Graduated?

Yes
No

Employment History

Please give accurate full time and part time employment record. Start with your present or most recent employer.

Company Name:*

Company Telephone:*

Company City, Province:*

Employment Dates*

Name of Supervisor*

Your Job Title*

Hourly Pay Start*

Hourly Pay Ending*

Your Responsibilities*

Reason for Leaving*

Company Name:

Company Telephone:

Company City, Province:

Employment Dates

Name of Supervisor

Your Job Title

Hourly Pay Start

Hourly Pay Ending

Your Responsibilities

Reason for Leaving

Company Name:

Company Telephone:

Company City, Province:

Employment Dates

Name of Supervisor

Your Job Title

Hourly Pay Start

Hourly Pay Ending

Your Responsibilities

Reason for Leaving

Company Name:

Company Telephone:

Company City, Province:

Employment Dates

Name of Supervisor

Your Job Title

Hourly Pay Start

Hourly Pay Ending

Your Responsibilities

Reason for Leaving

Resume

Upload Resume

Accepted file types: doc, pdf, docx, txt, rtf, Max. file size: 16 MB.

Employee Authorization to Release Employment Reference Information

I request and authorize release of my employment record and work history to Northwest Door Canada, LTD, a prospective employer upon a request for employment reference.

Digital Signature*

Date*