APPLICATION FOR EMPLOYMENT: NON-TRADES POSITIONS

Last Name: First Name: Middle Name: Present Address: Country: Prov./State: City: Postal / Zip Code: Telephone: Email:

JOB YOU ARE APPLYING FOR

Position:City:Salary Expectations:You are legally entitled to work in Canada by reason of: Canadian citizenship Permanent resident status Work PermitIf hired how quickly would you be able to start? Immediately 2 weeksOther:Have you ever been employed by any Maxim Truck & Trailer division or branch office? Yes NoIf yes, please provide details:

LANGUAGE SKILLS

What is your ability to use these languages in the workplace? (5 = strong and 0 = none) LanguageSpeakReadWrite 1. English 2. French
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5

EDUCATION

Institution: Program / Field: Completed? If yes, name certificate/diploma/degree Year completed:
Yes No
+ Add another institution

EMPLOYMENT HISTORY

Provide work experience history. Please start with your most recent information
Position: Employer: Employer Address: From: To: Final Rate of Pay: Supervisor Name: Supervisor Title: Supervisor Phone: Describe Work Performed: Reason For Leaving Month Month Year Year
+ Add another employer

SKILLS

Please describe how your skills relate to the job you are applying for (point form is acceptable)

Please list your computer skills:
Do you have any restrictions that would prevent you from doing this job?
i.e. Out of country travel, overtime as required, transportation concerns, other - describe:
Other skills that would enhance your performance (point form):

REFERENCES

List THREE (3) references who are either current / former employers or supervisors.
Name:Position:Company:Phone:

DECLARATION

IN SUBMITTING THIS APPLICATION, I UNDERSTAND THAT ANY MISREPRESENTATION OR OMISSION OF FACTS IS CAUSE FOR CANCELLATION OF THIS APPLICATION OR TERMINATION OF EMPLOYMENT. I HEREBY CONSENT TO AN INVESTIGATION OF MY WORK REFERENCES OR ANY OTHER INVESTIGATION DEEMED NECESSARY. BY SUBMITTING THIS APPLICATION, I DECLARE ALL INFORMATION TO BE CORRECT AND VERIFIABLE.