Roscoe Construction Limited
5769 Highway No. 1
PO Box 40 Waterville NS B0P 1V0
EMPLOYMENT APPLICATION
Position Applied For:
(Incomplete Employment Applications Will Not Be Considered)
(Please Complete In Your Own Handwriting)
-Carpenter
- Other________________
-Labour
________________________
-Production
PERSONAL
Name (In Capital Letters):
__________________________________ _______________________________________ ___________________________________________________
Surname
First Name
Middle Name
Mailing Address:
__________________________________ _______________________________________ __________________ _________________________________
Street or PO Box
Town
Province
Postal Code
Telephone Number:
__________________________________________
Previous Home Address in Canada: ___________________________ _______________________________________ ____________________
Street
Town
Province
EDUCATION
TYPE
NAME AND ADDRESS
COURSE
HIGH SCHOOL(s)
FROM
YEAR
TO
YEAR
GRADUATED
YES
NO
CIRCLE HIGHEST LEVEL
SUCCESSFULLY COMPLETED
9
10
11
12
UNIVERSITY
1
COMMUNITY
COLLEGE
OTHER
2
3
4
1
2
3
1
2
3
5
OTHER TRAINING
PROVIDE THE FOLLOWING INFORMATION FOR ANY OF THE FOLLOWING TRAINING YOU HAVE RECEIVED:
COURSE
CLASS \ LEVEL
DATE COMPLETED
COURSE
CLASS \ LEVEL
DATE COMPLETED
SAFETY BASICS
_______________________________________
OTHER
_______________________________________
FIRST AID TRAINING
_______________________________________
OTHER
_______________________________________
WHMIS
_______________________________________
OTHER
_______________________________________
JOURNEYMAN
_______________________________________
OTHER
_______________________________________
DRIVERS LICENSE
_______________________________________
OTHER
_______________________________________
OTHER
_______________________________________
OTHER
_______________________________________
FOR OFFICE USE ONLY
HAVE YOU WORKED FOR ROSCOE CONSTRUCTION LIMITED PREVIOUSLY: NO
YES
YEAR: _________________
6
WORK HISTORY
Beginning with the most recent, list below the names
and addresses of employers
Dates
From
To
Rate of Pay
Start
Finish
Reason For Leaving
Supervisor’s
Name and
Title
Brief Job Description and Duties
1.NAME________________________________________________
ADDRESS_____________________________________________
2.NAME________________________________________________
ADDRESS_____________________________________________
3.NAME________________________________________________
ADDRESS_____________________________________________
4.NAME________________________________________________
ADDRESS____________________________________________
PREVIOUS EMPLOYMENT EXPERIENCE
CARPENTRY
FORMWORK
WOOD FRAMING
STEEL STUD
DRYWALL
Finish\ Millwork
CABINETRY
SIDING\ ROOFING
REFERENCES
NAME
1
YES \ NO
YEAR
EQUIPMENT
FORKLIFT
BACKHOE
DOZER
LOADER
TRUCK
OTHER Please List
YES \ NO
YEAR
LABOUR
EXCAVATION
LANDSCAPING
CONCRETE
Carpenters Helper
OTHER Please List
YES \ NO
OTHER
MECHANIC
WELDING
PRODUCTION
FORESTRY
OTHER Please List
List Three Personal References: ( DO NOT USE RELATIVES OR PEOPLE WHO HAVE WORKED WITH YOU)
ADDRESS
OCCUPATION
YES \ NO
PHONE NUMBER
2
3
NOTICE - TO BE READ AND SIGNED BY APPLICANT
I hereby certify that the information supplied by me on this application for employment is true and complete. I hereby
authorize Roscoe Construction Limited to contact former employers to ask questions regarding my work habits, character,
skill and my action in any transaction.
SIGNATURE_________________________________ DATE:___________________________
FOR OFFICE USE ONLY
YEAR