ONLINE APPLICATION

POSITION DESIRED

Competition Number:
Job Title:
 

PERSONAL DATA

Full Name
E-mail Address
Address
Home Phone (Eg: 306-664-0606)
Work Phone (Eg: 306-664-0606)
 

EDUCATION/TRAINING/QUALIFICATIONS

Type of Institute
Name of Institute
Number Of Years Enrolled
Field of Study
Year Completed
High School/GED
Trade/Technical Training
Undergraduate College/University
Post Graduate Study
Other Continuing Education
Do you have a trade certifcate?
Yes No 		# of Apprentice Years Completed Trade License #

Province

Interprovincial License
Yes No
Are you a member of a professional or technical organization?
Yes No 		Do you hold a registration in a
professional organization?

Yes No

Name of professional organization
 

 
Registration #

If any education certification is from outside Canada, has it been assessed for equivalecy? Yes No
Specify which organization and attach foreign credential assessment.
Additional related learning including in-service training, correspondence, and extension courses (attach an additional sheet if further space is required).
Complete the following section if relevant to the position for which you are applying.

Typing Speed (wpm)

I am able to perform the following physical work: Light Moderate Heavy

Driver's License: Province Valid Yes No

List other specialized/relevant skills or qualifications (e.g., familiar software packages, language skills, etc.)

 

PREVIOUS EMPLOYMENT

List your last four employers. Begin with the most recent.
Employer #1
Name of Employer
Employer's Address
Employers Telephone Number
 Period Employed
Supervisor's Name
Reason for Leaving
Position and Duties
 
Employer #2
Name of Employer
Employer's Address
Employers Telephone Number
 Period Employed
Supervisor's Name
Reason for Leaving
Position and Duties
 
Employer #3
Name of Employer
Employer's Address
Employers Telephone Number
 Period Employed
Supervisor's Name
Reason for Leaving
Position and Duties
 
Employer #4
Name of Employer
Employer's Address
Employers Telephone Number
 Period Employed
Supervisor's Name
Reason for Leaving
Position and Duties
   

REFERENCES

Please list three persons, other than friends or relatives, who can judge your work ability.
Name
Company
Position
Telephone
May we contact your references? Yes
No
 

GENERAL INFORMATION

Date available for work
Have you been employed by LutherCare Communities before, or are you employed here now? Yes
No
If answered "Yes" to the above, please indicate dates of employment, position and department.
If you have any relatives employed by LutherCare Communities, please provide their name, position and relation to you.
Are you legally entitled to work in Canada? Yes
No
Are you able to work non-standard hours if required? Yes
No
If there is any other information that you would like to mention, please do so here.
 

RESUME (Optional)

If you currently have a cover letter, you can cut and paste it into the following text area.
If you currently have a resume, you can cut and paste it into the following text area.

LutherCare Communities wishes to thank all applicants for their interest in this position. However, only those selected for an interview will be contacted. Resumes will be kept on file for 4 months. Applicants must provide a criminal background check prior to employment.