APPLICANT INFORMATION |
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Last Name: |
First Name: |
Initials: |
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Address: |
City: |
Province: |
Postal Code: |
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Home Telephone #: |
Other #(Pls specify): |
May we contact you at work? |
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GENERAL INFORMATION
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Position or type of work desired:
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Alternative Position:
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Salary/Hourly Rate desired:
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Availability Date:
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Are you presently employed?
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May we contact your present employer(s)?
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Are you available to work?
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| Are you willing to relocate? |
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If yes pls. specify location: |
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If you have worked at Titan before please state position, dates and location:
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Have you ever been convicted of a Criminal Offense for which a pardon has not been granted, or for which a pardon has been granted and subsequently revoked?
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Are you bondable? (Answer this question only if you have been advised that this information is relevant to the position you are applying for)
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Who referred you to us? (if a specific agency, organization or someone in the company, please give full name)
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Have you ever applied to our company before?
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Please specify date:
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Based on the position applied for and, if selected for an interview, are you willing to provide a driver's abstract?
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If you are attaching a resume, it is not necessary to complete the following sections. Please ensure you have read and signed the Declaration Statement notation at the end of the Application Form.
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File Types Allowed: "PDF/DOC/DOCX/WPD"
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EDUCATION & TRAINING - You may be required to present proof of your credentials.
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High School Completed:
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If incomplete, number of years completed:
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List other qualification and skills such as: certificates, licenses, apprenticeship
programs, languages, current first aid certificate, any other industry specific programs:
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Do you have computer Experience
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Please list software types and versions in which you have a working ability: (For Example: Excel, Word, Internet, inventory systems)
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EMPLOYMENT HISTORY (Begin with the most recent)
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Employer:
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Address:
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Name of Supervisor:
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Phone:
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Position held:
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Duties:
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Date of Employment: From:
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To:
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Hourly Rate:
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Reason for Leaving:
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Employer:
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Address:
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Name of Supervisor:
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Phone:
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Position held:
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Duties:
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Date of Employment: From:
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To:
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Hourly Rate:
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Reason for Leaving:
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Employer:
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Address:
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Name of Supervisor:
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Phone:
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Position held:
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Duties:
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Date of Employment: From:
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To:
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Hourly Rate:
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Reason for Leaving:
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References - (Name three persons who have supervised your work and to whom we may contact in confidence)
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DECLARATION - Please Read Carefully
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I hereby certify and understand that:
I consent to Titan Supply LP, contacting any of my past or present employers and any other person
that Titan Supply LP determines appropriate to obtain information on all aspects of my prior employment
and character. I release Titan Supply LP, my present or past employers, and any other person contacted
by Titan Supply LP from and against any liability for the release of such information, including,
without limitation, any liability under applicable freedom of information or privacy legislation
related to any such information.
I further consent to Titan Supply LP reasonably collecting, using, retaining and disclosing personal and
health information for the purposes of my employment application, and if applicable for the purposes of
my employment with Titan Supply LP.
There will be a probationary work period during which my performance and suitability for the position
will be reviewed.
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TITAN ENCOURAGES A CULTURE WHERE OUR EMPLOYEES ARE
SAFE, TEAM ORIENTED, ACCOUNTABLE, EMPOWERED, TRUSTWORTHY, KNOWLEGABLE, DEDICATED
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