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First Name*

Last Name*

Birth Date*

Gender*

Emergency Contact Person*

Emergency Contact Person Number*

Social Insurance Number

Address

Street Address*

Street Address Line 2

City*

State / Province*

Postal / Zip Code*

E-mail*

Cell Number*

Home Phone Number*

Position Applying For*

Availability*

Shift Preference*

Do you have CSA approved safety boots?*

Immigration Status*

Do you have a criminal record?*

Address Of Previous Company you worked for?

Previous agency you worked for?

Provide your previous company supervisor email?

Where did you see our advertisement?

How will you get to work?

A proof of delivery (POD) document from your last shipment*

Resume

Additional Comments

The information I have provided is correct to the best of my knowledge and I understand that any misrepresentation may disqualify me from employment or may cause my dismissal. I have read and I agree to abide by listed terms and conditions.

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