Application for Employment

PERSONAL INFORMATION

Position of type of work of interest:

Work Type Desired:

Full Time Part Time Summer
Temporary Until

Last Name

First Name

Street

City

Province

Postal

Phone

Dates Available for Work

Are you prepared to work shifts?

Yes No

What Client Groups are you interested and willing to work with?

Youth at Risk Clients with Addictions
Adult Offenders Clients with Mental Health needs
Administrative Support Other

Are you legally permitted to work in Canada?

Yes No

Do you have a valid driver's licence?

Yes No
Do you own a vehicle? Yes No
If yes, are you prepared to transport clients? Yes No
I have a current (within 6 months) criminal record check? Yes No
I have a current Child Intervention Check? Yes No
I have worked for Edmonton John Howard Society previously? Yes No
If yes, at what time and in what role?

RELEVANT EDUCATION AND TRAINING

Institution Program Dates Attended Credential Attained

RELEVANT EMPLOYMENT

Organization Name Position with the Organization
Start Date End Date
Duties
Organization Name Position with the Organization
Start Date End Date
Duties
Organization Name Position with the Organization
Start Date End Date
Duties
Organization Name Position with the Organization
Start Date End Date
Duties

OTHER RELEVANT SKILLS AND QUALIFICATIONS

Declaration of Applicant

I hereby certify that the information provided on the application is accurate.

Agree

  

Contact the Edmonton
John Howard Society

#401, 10010 105 St.
Edmonton, AB T5J 1C4

Tel: 780.428.7590
Fax: 780.425.1699

mail@johnhoward.org


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