Type I & II Folding Barricades

Job Application Form

Position Applying For*

First Name*

Middle Name

Last Name*

Birthdate*

Email*

Mobile Phone Number*

Home Phone Number*

Street Address*

City*

Postal Code*

Have you ever worked for a traffic control company before?*
YesNo

If "Yes", please explain when and where

Are you available to work weekends?*
YesNo

Are you available to work overtime?*
YesNo

Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation?*
YesNo

If "Yes", please explain

Identification Numbers

Social Insurance Number(SIN)*

BC Care Card Number*

Drivers License Number*

Drivers License Expiry Date*

TCP Number*

TCP Expiry Date*

Additional Training

Please state any additional training and/or education (please include dates of expiry if applicable)

Emergency Contacts (Please fill out all 3 emergency contacts)

Contact Name 1*

Phone Number*

Relation*

Contact Name 2*

Phone Number*

Relation*

Contact Name 3*

Phone Number*

Relation*

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

By checking this box you agree that you have fully read and understood the disclosure above* I agree to the above disclosure

Date*