Job Application Form Personal InformationName* First Middle Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone*Mobile PhoneEmail* AvailabilityDate of Application* MM slash DD slash YYYY Date Available to Work* MM slash DD slash YYYY 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 DetailsSkillsIn 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 DateSummarize skills and qualifications acquired from employment and other experiences that may qualify you for the position you are applyingEducationHigh 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 HistoryPlease 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 ResponsibilitiesReason for LeavingCompany Name: Company Telephone: Company City, Province: Employment Dates Name of Supervisor Your Job Title Hourly Pay Start Hourly Pay Ending Your ResponsibilitiesReason for LeavingCompany Name: Company Telephone: Company City, Province: Employment Dates Name of Supervisor Your Job Title Hourly Pay Start Hourly Pay Ending Your ResponsibilitiesReason for LeavingResumeUpload ResumeAccepted file types: doc, pdf, docx, txt, rtf, Max. file size: 16 MB.Employee Authorization to Release Employment Reference InformationI 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* CAPTCHANameThis field is for validation purposes and should be left unchanged.
