Triple M Metal LP

Triple M Metal Canada's Leading Metal Recycling Company - ISO 9001 and ISO 14001

* = required field
Position Applied for:*	Start Date:
Status:*	Preferred Location(s):
Availability *	Minimum Acceptable Salary	$

Contact information

First name: *

Last name: *

Middle name:

Address: *

Apt #.:

City: *

Province: *

Postal Code: *

Phone: *

(

)

Email Address: *

*Are you legally eligible to work in Canada? Yes No

Note: Persons legally permitted to work in Canada are Canadian citizens, permanent residents of Canada or persons in possession of a valid work permit. Evidence of eligibility is required upon employment.

Education Record

Level	Length of Program	Major Subject	Diploma/ Degree Grade Completed	Degree /Diploma/ Certificate Awarded
			YesNo
			YesNo
			YesNo
			YesNo
			YesNo

Additional courses, seminars, workshops, professional qualifications such as licenses, titles:

Describe any of your work related skills, experience or training that is related to the position being applied for:

List any language abilities you have:

Language:	Speak:	Read:	Write:
	yes	yes	yes
	yes	yes	yes
	yes	yes	yes

EMPLOYMENT HISTORY
(Please list previous work experience with most recent employer first)

Company Name:

Address:

City/Province:

Phone:

(

)

Type of business:

Supervisor's Name:

Date Employed

From:

/ / (dd/mm/yyyy)

To:

/ / (dd/mm/yyyy)

Present/Last Job Title:

Present/Last Salary:

Reason for leaving:

Duties & Responsibilities:

May we contact this employer for a reference? Yes No

	*1.	Have you ever been employed by Triple M Metal before? YesNo If yes, date left: / / (dd/mm/yyyy)
	2.	What source referred you to this company?
	*3.	Do you have any relatives employed by Triple M Metal? Yes No If yes, provide name, relation and location of where they work. Name: Relation: Location:
	4.	Are you bondable? Yes No
	5.	Have you ever been convicted of a federal offence for which a pardon has not been granted? Yes No
	6.	Are you aware of any current health condition or allergy that would prevent you from performing the duties of the job you have applied for, or (b) would be hazardous to the safety of your co-workers, our customers or the public? Yes No

Answer this section if position applied for requires driving a vehicle.
Please attach a copy of your drivers abstract:
Driver's License #:
Province:
Class:
Expiry Date:	/ / (yyyy/mm/dd)

List all your motor vehicle accidents during the last three years:

List all your convictions for moving traffic violations in the last two years:

List all safe driving awards you hold, and from whom:

OUTSIDE HOBBIES AND INTERESTS, SERVICE CLUBS OR PROFESSIONAL ASSOCIATIONS:
(Do not list Clubs or Organizations of a Religious, Racial, Political or National Character)

REFERENCES
List two persons who have known you for some time and to whom we may refer:
(Do not include relatives, Business References Preferred)

Name:

Address:

Telephone:

(

)

Occupation:

# of years known by applicant:

Name:

Address:

Telephone:

(

)

Occupation:

# of years known by applicant:

Please answer the following, giving a specific example for each question.

TEAM
Describe a time when you worked within a team setting to achieve a common goal.

SERVICE
What does customer service mean to you and when have you gone
beyond the call of duty for a customer?

PRIDE
Tell us about something that you were proud of accomplishing at work.

*		I hereby declare that the information on this application is true and complete to my knowledge.
*		I understand that any false statement may disqualify me from employment, or cause my dismissal.
*		I hereby authorize the company to verify my employment and credit background.