First Name Last Name Address City Province Postal Code Email Phone Number Salary Range Desired Are you willing to work weekends? Yes No Are you willing to work between 5:00AM-Midnight? Yes No Have you worked for Stolport in the past? No Yes Are you willing to work outdoors? Yes No Have you ever been convicted of a felony? No Yes Do you have a clean Driver's Abstract? Yes No Do you have a Driver's Licence? No G1 G2 Full G D DZ Languages English French Other Citizenship Canadian Permanent Resident Work Permit Other 1. Employer Name & Location From To Position Held Duties & Skills Reason for leaving Salary upon leaving 2. Employer Name & Location From To Position Held Duties & Skills Reason for leaving Salary upon leaving 3. Employer Name & Location From To Position Held Duties & Skills Reason for leaving Salary upon leaving 1. Name of School & Location From To Area of Study Grade/Certification/Diploma/Degree Completed? Yes No 2. Name of School & Location From To Area of Study Grade/Certification/Diploma/Degree Completed? Yes No 3. Name of School & Location From To Area of Study Grade/Certification/Diploma/Degree Completed? Yes No Please give details of any other qualifications or special experiences you feel may be relevant to your application: What is your biggest accomplishment and what did you learn from it? What are your future career goals? 1. Full Name Company Position Phone Number Email Relationship 2. Full Name Company Position Phone Number Email Relationship 3. Full Name Company Position Phone Number Email Relationship Statement of Consent I hereby authorize Stolport Corporation to thoroughly investigate this application and any supplements, my references, work record, education, and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to Stolport Corporation any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Stolport Corporation from, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities, arising out of or in any way related to such investigation or disclosure. The information I have provided in this application is accurate, true and complete. I understand that should I be made an offer of employment, any deliberate falsification may result in dismissal. NOTE: Please be aware that if your application is unsuccessful, Stolport reserves the right not to enter into any discussions as to our reasons, and our decision is final. Please note travelling expenses are not refunded. Submit Application
