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Application for Employment

• Please complete all sections as thoroughly as possible, even if you are attaching a resume. It is necessary to provide complete information as this will be used to determine eligibility.

• A separate application is required for each position/competition. Applications must be received at the appropriate closing location by the date indicated in the advertisement.

Position Information
Position Applied For    Type of Employment Full Time     
   
It is a requirement of Islands West that all employees have a valid Food Safe Certificate prior to commencing employment. Do you currently hold a valid Food Safe Certificate? Yes     
 
Driver's License Information
Provide the following information if applying for a position where driving is a requirement.
List class(es) of valid driver’s license
 
Personal Information
Name
 
Phone Number (other) E-Mail Address
 
Mailing Address      City
 
Province      Postal Code
 
Do you have a friend or relative currently employed with Islands West?
 
If yes, who?
 
Education and Training
Please describe your education, post secondary, courses and training certifications which have given you work related knowledge and skills. Start with highest level achieved and specify the degrees, certificates or diplomas completed. Official documentation may be required.
Area of Study/Course Name of Institution/Organization
Year Taken
Completed
   
Yes
No
         
         
         
         
         
 
Work History
Beginning with your most RECENT experience, describe your work history. You may wish to include relevant volunteer positions. In the area for “Duties and Skills” describe the major duties and skills acquired/used as they relate to the position you are applying for. If any references have known you by a previous name, please specify. Reference checks will be conducted to assess your past work performance and may include checks of attendance records.
Employer and Locations From YYYY/MM/DD To YYYY/MM/DD
     
Position Title Supervisor Name Supervisor Telephone
     
Reason for Leaving    
     
Duties and Responsibilities    

Employer and Locations From YYYY/MM/DD To YYYY/MM/DD
     
Position Title Supervisor Name Supervisor Telephone
     
Reason for Leaving    
     
Duties and Responsibilities    

Employer and Locations From YYYY/MM/DD To YYYY/MM/DD
     
Position Title Supervisor Name Supervisor Telephone
     
Reason for Leaving    
     
Duties and Responsibilities    
 
Applicant Signature

Your submission of this application form is your consent that as a condition of being considered for employment, references about past work performance will be obtained from your current and previous employers. 

You certify that the information provided in this application is true and complete. I understand that if any information in this application is found to be untrue or incomplete, my application may be rejected or I may be dismissed in the event that I am the successful applicant.

 
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