What position are you applying for?
How did you hear about this position?
PERSONAL DATA
Full Legal Name (include middle initial)
*Required
Address
City
Province
Postal Code
Main Contact Phone Number
* Required
(xxx)-xxx-xxxx
Home Phone Number
Cell Phone Number
Are you legally eligible to work in Canada?
Yes
No
E-mail address
EDUCATION
SECONDARY SCHOOL, BUSINESS OR TRADE SCHOOL, COLLEGE OR UNIVERSITY
Name of Institution
Name of Program Attended
Highest Level of Program/Trade completed
License, Certificate, Degree or Diploma Awarded
List any other courses, workshops, seminars, licenses, certificates, degrees, etc.
WORK RELATED SKILLS
List any work related experience or safety training that relates to the position applied for
EMPLOYMENT
Name of present or most recent employer
Position Held
Period of employment (mm/yy)
to
Duties/Responsibilities
What were your reasons for leaving?
Name of previous employer
Position Held
Period of employment (mm/yy)
to
Duties/Responsibilities
What were your reasons for leaving?
REFERENCES
Please list your current or most recent employer and up to 2 former employers.
Current or Most Recent Employer
Name
Title
Phone Number
Former Employer
Name
Title
Phone Number
Former Employer
Name
Title
Phone Number
KEY PHYSICAL REQUIREMENTS
Please note that the type of work that Victory Rig Equipment performs often requires a substantial amount of lifting, standing for long periods of time, working at heights, and in varying temperatures. Do not apply if you have any health conditions that may be a potential risk or if you are not physically capable of the physical work we require.
I understand that this information is collected in accordance with the Privacy and Human Rights Laws in Canada. I give my consent for a representative of Victory Rig Equipment to contact the references I have identified above. I hereby declare that the information provided is true and complete to my knowledge. I understand that a false statement may disqualify me from employment or cause my dismissal.
(This box must be checked to submit your application)