Printable version for mail or fax. Please fill all fields out as completely as possible and submit. Name: Address: City: Prov: Postal Code: Phone: Valid Drivers License: Yes No Class: Current First Aid Certificate: Yes No Expires: WHMIS Certificate: What position are you applying for? Labour Welder Forklift Machine Operator Brake/Shear Other If Other, please specify: What machines/equipment have you been trained to operate? Are you bondable? Yes No Interests, hobbies, sports? How did you find out about us? Newspaper Web Acquaintance Referral Other In the interest of minimizing potential hazard to yourself or others, are you capable of lifting 75 lbs several times a day? Yes No Explain "No" answer: Education High school - grade and year completed: College / Trade tickets / Certificates: Previous work experience (last job first) Years at job: Company Name: Phone-Address: Supervisor: Responsibilities: Years at job: Company Name: Phone-Address: Supervisor: Responsibilities: Years at job: Company Name: Phone-Address: Supervisor: Responsibilities: By typing your name below, you are stating that the above information is true and accurate to the best of your knowledge. Date: