EMPLOYMENT APPLICATION
for General Courier  Work

R Courier Ltd.
255 Duncan Mill Rd. #810
North York, Ontario
M3B 3H9

Tel: 416-633-8183
Fax: 416-633-7764

Attn: Human Resource

Personal Information:

Name:     Telephone   (         )

Address:   City     Province      Postal Code

Social Insurance No:  

Drivers License No:        Year and Make of the Vehicle: 

In Case of emergency notify:

Name   Telephone   (         )

Address:   City      Province      Postal Code

Availability:

Are you legally able to work in Canada ?           Yes            No

Position Applied for:                  Driver      Walker      Bicycle      Office Help

What type of position are you seeking ?           Part Time    Full Time

School Most Recently Attended:

Name:           Address:

Counselor:    Last Grade Completed:     G.P.A: 

Graduated?           Yes    No                     Now Enrolled?           Yes    No

Sports or Activity: 

Most Recent Employment:

Company:              Address:

Telephone   (         )   Supervisor:  Dates:   From    To

Wage                     Reason for Leaving 

Company:              Address:

Telephone   (         )   Supervisor:  Dates:   From    To

Wage                     Reason for Leaving 

Physical:

Any Health or Physical limitation which could affect your employment         Yes    No

if yes, please explain: 

I Certify that this information is accurate and complete. Giving incomplete or false information in an application for employment is a serious matter and is grounds for dismissal. I hereby acknowledge that R Courier Ltd. may request information regarding my character, general reputation or mode of living.

Date:                                       Signature: