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Christian Horizons
Christian Horizons Career Opportunities
On-Line Application
Date
First Name: Middle: Last:
Primary Phone: Secondary Phone:
Email address:
Street Address
City Province Postal Code
Position Applying For Preferred Location
Employment Type Full-time    Part-time    Temporary/Relief    Co-op/Other
Have you previously been employed by Christian Horizons?
Yes, date and location(s):
No
Date Available to start work
For insurance purposes, do you currently possess a full G-class Ontario driver's license?
Yes No         Any additional comments:
List any relatives or friends working for Christian Horizons or serving on its Board of Directors:
Name    Relationship
Name    Relationship
Name    Relationship

EDUCATION

PLEASE COMPLETE ANY APPLICABLE SECTIONS OF THE FOLLOWING CHART:
SCHOOLCOURSE OF STUDYYEARS COMPLETEDDID YOU GRADUATE?DIPLOMA/DEGREE
High School Yes    No
Trade/Business School Yes    No
College or University Yes    No
Graduate School Yes    No
Have you worked in the developmental services field? Yes    No
Please describe any social services qualifications and experience you have:
Have you been convicted of a criminal offence for which a pardon has not been granted? (A conviction record will not necessarily be a bar to employment.) Yes    No
If yes, please describe in full detail below
Are you 18 years of age or more? Yes    No
At present, are you legally eligible to work in Canada? Yes    No
Would you be able to provide proof verifying your eligibility to work in Canada? Yes    No

WORK EXPERIENCE

PLEASE LIST YOUR LAST FOUR PRESENT AND FORMER EMPLOYERS, BEGINNING WITH THE MOST RECENT:
JOB TITLE EMPLOYER NAME OF SUPERVISOR START DATE END DATE REASON FOR LEAVING
Why do you wish to work for Christian Horizons?
As part of its evaluation of my suitability for employment, I authorize Christian Horizons to contact my former employers or personal individuals
for references Yes    No

RESUME

Attach Your Resume

APPLICANT'S CERTIFICATION

PLEASE READ CAREFULLY BEFORE SIGNING.
I certify that, to the best of my knowledge, the answers given by me to the foregoing questions and the statements made by me in this application are correct and complete. I understand that misrepresentation or omission of facts in this application may lead to my discharge.


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APPLICANT'S SIGNATURE     (Signature will be obtained during interview)

__________________________________________

DATE     (Will be obtained during interview)