Employment Application

Personal Information
Name
Last
First
Middle
Present Address
Street
City
Province
Postal Code
Phone Number
Additional Number
Resume
Social Insurance Number will be required upon hiring
Have you ever been employed by Intercontinental Packers or Mitchell's Gourmet Foods?
Yes No
If "yes", when?
Department
Have you ever been bonded?
Yes No
Have you ever been denied a bond?
Yes No
Employees of Mitchell's Gourmet Foods with whom you are acquainted
Number:
Employee 1
Name Position
Relationship Years Known
Employee 2
Name Position
Relationship Years Known
Employee 3
Name Position
Relationship Years Known
Employee 4
Name Position
Relationship Years Known
Employee 5
Name Position
Relationship Years Known
Availability
Position applying for
Date Available
Summer Only
Yes No
Permanent
Yes No
Are you available to work any shift required upon hiring?
This could mean days, afternoons, midnights or weekends
Yes No
Have you ever worked in a meat packing plant before?
Yes No
If yes, where?
Have you ever worked on an assembly line before?
Yes No
If yes, where?
Additional Information
Education
High School
From To
School Name Address
Graduated Yes No Grade Completed
Business Trade or Technical School
From To
School Name Address
Graduated Yes No Course
College or University
From To
School Name Address
Graduated Yes No Course
Skills & Training
  Experienced Certified  
Training
W.H.M.I.S. Training  
OCC Health & Safety  
Power Worker - Forklift  
1st Aid or EMT Training  
 
Skills
Brick Laying  
Carpenter  
Painter  
Plumbing  
Pipefitter  
Refrigeration  
Electrician  
Welder  
Industrial Mechanic  
Computer  
Knife Skill Level Attained:
 
Emploment History
Begin With Most Recent Employer
Number:
Employment 1
Company Name
Contact Name Phone Number
Address Type of Business
Position Salary
Dates Employed
From To
Reason for leaving
Describe work performed
Employment 2
Company Name
Contact Name Phone Number
Address Type of Business
Position Salary
Dates Employed
From To
Reason for leaving
Describe work performed
Employment 3
Company Name
Contact Name Phone Number
Address Type of Business
Position Salary
Dates Employed
From To
Reason for leaving
Describe work performed
Employment 4
Company Name
Contact Name Phone Number
Address Type of Business
Position Salary
Dates Employed
From To
Reason for leaving
Describe work performed
Employment 5
Company Name
Contact Name Phone Number
Address Type of Business
Position Salary
Dates Employed
From To
Reason for leaving
Describe work performed
Interests - Hobbies - Anything else you might like to add
Additional Information
Do you have a disability which will affect your ability to perform any of the functions of the job which you have applied?
Yes No
If yes, what are your limitations?
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION AND UNDERSTAND THAT ANY MISREPRESENTATION OR OMISSION OF FACTS IS CAUSE FOR CANCELLATION OF THIS APPLICATION OR TERMINATION OF EMPLOYMENT. I AGREE THAT I WILL BE REQUIRED TO PAY A UNION JOINING FEE AND WEEKLY UNION DUES. I AGREE TO ABIDE BY ALL COMPANY REGULATIONS AND TO JOIN ALL COMPANY MANDATORY PLANS, WHEN QUALIFIED.
I Accept