CLICK-into Inc. Job Application Form

CLICK-into Inc.

	Toronto : 905.477.8853 Ottawa : 613.739.8887
info@click-into.com
Innovative Technology Solutions for Government and Business

APPLICATION FOR EMPLOYMENT
(Please answer all questions)

Title:	First Name:	Last Name:
	*	*

Address:

City:

Country:	Province/State :	Postal / Zip Code:	Years at this Address:

Telephone:

Cellphone:

Email:

Position Applied For:

Work Location Preference:

Referred by:

Do you have the legal right to work in Canada?	What date can you start working for this company?
	dd/mm/yyyy

Have you worked for this company before? If "yes" explain when, where and what your position was:


How did you hear about this position? Please specify: Job Fair Newspaper/Radio Other

EMPLOYMENT HISTORY All applicants must complete the following section outlining preceding work history. List employers in reverse order starting with the most recent. MINIMUM THREE (3) YEARS REQUIRED
Employer # 1:	Position Held:	Date: From / To

City:	Province / State:	Reason for Leaving:

Employer # 2:	Position Held:	Date: From / To

City:	Province / State:	Reason for Leaving:

Employer # 3:	Position Held:	Date: From / To

City:	Province / State:	Reason for Leaving:

REFERENCES. List 3 references including relationship & phone number

DRIVER EXPERIENCE DRIVER EXPERIENCE QUALIFICATONS
DRIVER LICENSE No.:	CLASS:	ENDORSEMENTS TYPE:

Record the estimated total miles and years of experience.
	Mileage / Years		Mileage / Years
Pick up:		City Truck:
Highway Truck:		Tractor Trailer:
Are you now or have you recently been hired as a driver? If "yes", state the type of vehicle and estimated hours per day driving

Have you ever taken a professional driving course or defensive driving course? If "yes", specify date and type

ACCIDENT RECORD (for the past 3 years or more. )
Accident	Date (dd/mm/yyyy)	Nature of Accident (head-on, rear end, upset, etc.)
Last Accident
Next Previous
Next Previous
Next Previous

TRAFFIC / CRIMINAL CONVICTIONS or forfeitures for the past 3 years (other than parking violations).
Location	Date (dd/mm/yyyy)	Charge	Penalty

A.	Have you ever been denied a license, permit or privilege to operate a motor vehicle?
B.	Has any license, permit or privilege ever been suspended or revoked?
C.	Have you ever been convicted of a criminal offense?
If the answer to Question A, B, or C is "yes" please give details below

EDUCATION
Highest Grade Completed:	Years of Post Secondary Education:	Last School Attended / Date: (yyyy)

SAFETY TRAINING Describe the safety training you have that will assist you in the position applied for:
Course Name	Certificate #	Expiry (dd/mm/yyyy)

OTHER INFORMATION
Which safe driving awards do you hold and from whom?	List special equipment or technical materials you can work with (other than those described above):

Outline any addition information you may feel would be beneficial to us that is relevant to the position being applied for:

TO BE READ AND ACCEPTED BY THE APPLICANT

By signing this application form, this certifies that this application form was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge.

I authorize you to make such investigation and inquiries of my past employment and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in conjunction with my application.

In the event of employment, I understand that false or misleading information given in my application or interview (s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company as required by law.

My signature below also confirms that my personal information as provided in this form is true and accurate, is freely provided, and that I have freely consented, where my consent is required, to CLICK-into Inc. ("CLICK") collecting, using and disclosing my personal information for the purposes of considering me as an employee. Should I become an employee, all subsequent collection, use and disclosure of my personal information, and notification of the purposes for doing so, will be as set out in the CLICK Privacy Policy (the "Policy"), a copy of which is available on request from CLICK. I understand that the Policy may be amended from time to time and that may affect the collection, use and disclosure of my information should I become an employee.

I agree to terms and conditions *

CLICK-into Inc.