Job Application

 

Position:
Team Partner Name:

Date:

Referred by:
Subject:

Last Name:

First Name:

SIN:

Middle Name:

Email:

Current Street Address:

City:

Province:

Postal Code:

Telephone Number:

Mobile Number:

Are you 22 or older?

No

Do you have a Driver's License?

License Number:

Special License:

AZ

Province:

Have you ever had your Driver's License suspended or Revoked?*

If so, please explain:

Have you ever been cited for driving under the influence of alcohol or drugs?*

If so, please explain:

Have you ever been convicted of a criminal offense for which you have not received a pardon?*

If so, please explain:

List any tickets in the last three years:(Write NONE if you do not have any)*

List any accidents regardless of fault in last three years?(Write NONE if you do not have any)*

Have you ever applied or been employed by Olympian Group Systems Inc.? *

When:

Where:
EMPLOYMENT HISTORY - Employer 1

Name of Current or most Recent Employer*

May we contact them?

Employer Address:

Telephone Number:

Position Title:

Type Equipment Operated:

State/Provinces Operated in:

Reason for Leaving:

Employed From:

to

Rate of Pay:

EMPLOYMENT HISTORY - Employer 2

Name of Current or most Recent Employer*

May we contact them?

Employer Address:

Telephone Number:

Position Title:

Type Equipment Operated:

State/Provinces Operated in:

Reason for Leaving:

Employed From:

to

Rate of Pay:

EMPLOYMENT HISTORY - Employer 3

Name of Current or most Recent Employer*

May we contact them?

Employer Address:

Telephone Number:

Position Title:

Type Equipment Operated:

State/Provinces Operated in:

Reason for Leaving:

Employed From:

to

Rate of Pay:

I certify the above information to be true and correct. I authorize Olympian Group Systems Inc. to conduct a complete background investigation, including past drug and alcohol employment testing results, in accordance with the governing legislation. I further authorize my previous employers to release any information requested by Olympian Group Systems Inc. and hold them harmless of all liability from the release of said information.
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