Email:*

On what position do you wish to apply?

On what category of employment do you wish to apply? :

white collar blue collar management public security

As of what date are you available to start working?

High school

DEP Vocationnal

Cegep / College

Graduate

Master

Ph. D.

Other

Word Processing :

Software used :

Electronic worksheet :

Software used :

Member of a professionnal order or association :

Specify :

Do you have a competency card or an apprenticeship card :

Specify :

Employer :

Job title :

Date worked :

From :

To :

Employer :

Job title :

Date worked :

From :

To :

Have you ever worked for the town of Hampstead? :

Job title :
Department :
Year :

Are you related to anyone employed by the Town of Hampstead? :

Name : Relationship :

Have you been convicted of a criminal or penal offence related to the desired position and for which you have not received a pardon?

Yes No

Do you have a driver's liscence? :

Type of liscence :

Are there any restrictions on your driver's liscence (e.g night driving prohibition)? :

Validity date : Expiration date :

Do you have the use of an automobile?

Yes No

Would you accept to work on? :

day evening night weekend on rotation statutory holidays

Do you have some first aid training?

Specify

Do you have the Health and Safety on Construction Sites certificate?

Who is the delivery authority?

Would you accept to undergo a medical examination?

Yes No