Box 330 Altona MB R0G 0B1
(204) 324-5401

Blue Sky

Application for Employment

PERSONAL
Name: [ last, first, middle ]
Present Address: [ no., street, city ]
Province:
Postal Code:
Telephone Number: [ (xxx) xxx-xxxx ]
Cell Number: [ (xxx) xxx-xxxx ]
Email Address:
Jobs Applied For Rate of Expected Pay
1. $ per
2. $ per
When are you available to work?         
How did you learn of this opening?          
Have you worked for us before?      
If hired, on what date will you be able to start work? Select Date from Calendar
Do you have reliable transportation to get to work?        
EDUCATION AND TRAINING
Institution Years Completed     Location Years Attended
High School  
College / University  
Specialized Training
(First Add, Class 4, etc.)
WORK EXPERIENCE
Name of Company or Employer:
Address:
Telephone Number:
Name of Supervisor:
Employed From: Select Date from Calendar
To: Select Date from Calendar
Starting Rate of Pay:
Ending Rate of Pay:
Title / Position Held:
Reason for Leaving:
Can we Contact Your Employer?   
Name of Company or Employer:
Address:
Telephone Number:
Name of Supervisor:
Employed From: Select Date from Calendar
To: Select Date from Calendar
Starting Rate of Pay:
Ending Rate of Pay:
Title / Position Held:
Reason for Leaving:
Can we Contact Your Employer?   
Name of Company or Employer:
Address:
Telephone Number:
Name of Supervisor:
Employed From: Select Date from Calendar
To: Select Date from Calendar
Starting Rate of Pay:
Ending Rate of Pay:
Title / Position Held:
Reason for Leaving:
Can we Contact Your Employer?   
REFERENCES
Name and Occupation:
Address:
Telephone Number:
Name and Occupation:
Address:
Telephone Number:
Name and Occupation:
Address:
Telephone Number:
OTHER INFORMATION
State any other experiences, skills or qualifications which you feel are relevant to your application for employment. Please exclude information that would indicate any prohibited grounds of discrimination.