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PERSONAL INFORMATION

Name

Phone

Street Address

City

Province

Postal Code

Country

EMPLOYMENT INFORMATION

Please answer all questions applicable

Position you are applying for, if not answered above

Are you applying for:

Full Time

Part Time

Summer

Do you have a valid driver's license

Yes

If yes, what class is your license?

Air Brakes?

Yes

Is your license restricted? If yes, please provide details.

Date you can start

Are you willing to travel within Northern and Eastern Nova Scotia?

Yes

EDUCATION

Highest grade successfully completed?

School #1 and course name

School #2 if applicable, and course name

School #3 if applicable, and course name

TRAINING AND EXPERIENCE

Type of training and expiry date

Equipment Experience

Type/Model, # of years and last date

WORK EXPERIENCE

Please tell us where you have worked before.

Employer #1

Position

Dates employed

Reason for leaving

Employer #2

Position

Dates employed

Reason for leaving

Employer #3

Position

Dates employed

Reason for leaving

REFERENCES

Reference #1

Relationship

Years known

Phone

Reference #2

Relationship

Years known

Phone

Reference #3

Relationship

Years known

Phone

COVER LETTER AND RESUME (Optional)

Cover Letter

Resume