Plan It Consulting
4825 - 51 Street, Camrose, AB T4V 1R9
(780) 672-0063    planit@telus.net
APPLICATION FOR EMPLOYMENT

Date: 				Position Applied For: 						

Personal Information
Name: 											______
Address: 											______
Home Phone #: 			__________  Cell Phone #: 	____________		 
Email:________________________________________________________________________
Are you legally permitted to work in Canada? 		_____________________________	

General Information
Are any of your friends or family currently employed by PLAN IT CONSULTING INC.? Who?
													
Have you ever previously applied or been employed by PLAN IT CONSULTING INC.? 	
													
When are you available to start work? 	________________		 
What is your expected wage? ____________________________________
Do you have a valid driver’s license? 	______________		 
Do you have a vehicle for work use? 	____________	______
Education & Training
High School		Last Grade Completed  		  Diploma 				
			Date Completed: 		  Area of Specialization: 		______
College/University	Date Completed: 		  Degree/Diploma/Certificate:  		
			Date Completed: 		  Degree/Diploma/Certificate:  		
			Date Completed: 		  Degree/Diploma/Certificate:  		
Other courses, training, or certificates: 								
												______

Do you have a valid First Aid Certificate? 				Expiry Date: 			

Employment History
Begin with most recent employer
1) 	Employer: 											
	Address: 											
	Ph #: 				Start Date: 				End Date: 		
	Immediate Supervisor: 									
	Position & Responsibilities: 									
													
	Reason for Leaving: 										

2) 	Employer: 											
	Address: 											
	Ph #: 				Start Date: 				End Date: 		
	Immediate Supervisor: 									
	Position & Responsibilities: 									
													
	Reason for Leaving: 										

3) 	Employer: 											
	Address: 											
	Ph #: 				Start Date: 				End Date: 		
	Immediate Supervisor: 									
	Position & Responsibilities: 									
													
	Reason for Leaving: 										

Membership in Professional Organizations: 			________				

													

Volunteer Work: 											

													

Interests/Hobbies: 											

													

Any other related experience to the position you are applying for? 					

Any other information you would like to provide: 							

													

I certify that all the statements made in this application are truthful and complete. I understand that any false statements made may disqualify me from employment, and I further understand that I may be asked to provide proof of education and training. 

Signature							Date