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Application

Employment Application Form

CentreCore Group Inc. is an Equal Opportunity Employer. It is the policy of CentreCore Group Inc. to recruit, hire and promote for all job classifications and administer all personnel functions without regard to race, creed, colour, religion, ancestry, national origin, marital status, pregnancy, sexual preference, citizenship status, personal disability, sex or age.

Last Name:

First Name:

Middle Name:

Address:

City:

Province:

Postal Code:

Home Phone:

Cell Phone:

Email:

You can also upload a resume here if you wish (only PDF and JPG formats accepted):

If hired, can you provide verification of your legal right to work in Canada?

Yes No

Do you have a valid Social Insurance Number that allows you to work in Canada?

Yes No

If hired, would you ave reliable transportation to and from work?

Yes No

If required for the position, do you have a valid Alberta driver's licence?

Yes No

Have you ever worked under a different name?

Yes No

If yes, then enter name:

Can you meet all attendance requirements?

Yes No

if No, why:

Do you know anyone who is working for CentreCore?

Yes No

If Yes, enter name and relationship:

Have you ever worked for CentreCore before?

Yes No

If Yes, enter when and position:

Position Desired:

Date Available:

Wage Desired:

Would you be willing to work overtime?

Yes No

Type of employment desired:

Permanent Temporary FullTIme PartTime

What days and hours are you available to work:

How did you hear about CentreCore as an employer:

High School Name:

Location:

Did you graduate?

Yes No

College/University School Name:

Location:

Course of Study:

Did you graduate?

Yes No

Certifcate or Degree received:

Technical/Trade School Name:

Location:

Course of Study:

Did you graduate?

Yes No

Certifcate or Degree received:

Start Date (1):

End Date (1):

Company (1):

Supervisor Name (1):

Can we contact this employer (1):

Yes No

Reason for Leaving (1):

Contact Number (1):

Duties (1):

Start Date (2):

End Date (2):

Company (2):

Supervisor Name (2):

Can we contact this employer (2):

Yes No

Reason for Leaving (2):

Contact Number (2):

Duties (2):

Start Date (3):

End Date (3):

Company (3):

Supervisor Name (3):

Can we contact this employer (3):

Yes No

Reason for Leaving (3):

Contact Number (3):

Duties (3):

Name (1):

Title (1):

Phone Number (1):

Email (1):

Describe relationship and work (1):

Name (2):

Title (2):

Phone Number (2):

Email (2):

Describe relationship and work (2):

Name (3):

Title (3):

Phone Number (3):

Email (3):

Describe relationship and work (3):

I hereby certify

that I have not withheld or misstated any material facts that might adversely affect my application for employment and that the answers given by me are true and correct. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application, or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize

CentreCore Group Inc. to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment, and further, I authorize my former employers listed in this application to speak to officials of and disclose to CentreCore Group Inc. any and all letters, reports, and other information related to my work records, without giving, me prior notice of such disclosure. I authorize disclosure of this information in compliance with and in waiver of my rights under applicable privacy legislation.

I acknowledge

that all offers of employment are conditioned upon my providing satisfactory documentary proof of my identity and legal right to reside and work in the Canada.

I understand

that nothing contained in this application or conveyed during the interview process is intended to create an employment contract between CentreCore Group Inc. and me. In addition, I also understand that if hired, there will be a 120 day probationary period at the beginning of my employment, during which period I may be terminated if my services prove to be unsatisfactory.

I verify

that by submitting this application form, I am placing my signature on it with today's date

You can focus on your business while we take care of the maintenance.

You can contact our Management Team here

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9608 – 51 Avenue NW

Edmonton, AB T6E 5A6

(T) 1-780-436-1111

(E) info@centrecore.ca

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