POSITION APPLIED FOR

What department are you applying for?*

Please specify which position you are applying for:*

How did you hear about Graphem Solutions Inc.?*

*

PERSONAL INFORMATION

Name*

FirstLast

Address*

Street AddressAddress Line 2CityProvincePostal Code

Phone*

Email*

Are you legally entitled to work in Canada?*

Yes
No

Are you bondable*?*

Yes
No

*Bondable means one’s ability to be insured by the hiring company, so that in the event of theft or loss by the employee the company is insured for the value of the loss. The process requires several checks, namely background (criminal record) and credit checks. If you have any sort of criminal record, you must answer “No” to the question of “are you bondable”.

AVAILABILITY

Type of employment desired:*

Part-time (2-3 shifts/week)
Full-time (5 shifts/week)

Select available days:*

When would you be available to start?*

EDUCATION

*

School	Years(s)	Program

RELEVANT WORK EXPERIENCE

Last Employer	Position	Start Date	End Date	Reason for leaving	Supervisor	Supervisor’s Contact	May we contact this supervisor

ALTERNATIVE REFERENCES

Name	Relationship to you	Phone Number	Email	May we contact this supervisor

DOCUMENTS

Please upload your resume and other relevant documents here: (PDF only. Up to 3 documents.)*

Drop files here or

Portfolio or code repository:

CONSENTS

I certify that:*

I hereby certify that the answers in this application are true and complete and I understand that any false answers or statements made may result in rejection of this application, and if hired, will constitute just cause for termination of employment.

I authorize Graphem Solutions Inc. to:*

I hereby authorize Graphem Solutions Inc. to thoroughly check my background, references, employment record and other matters related to my suitability for employment.

I understand that:*

I understand that nothing contained in this application, or conveyed during any interview, which may be granted, is intended to create an employment contract. I understand that filling out this form does not indicate that there is a position open and does not obligate Graphem Solutions Inc. to hire me.

APPLICATION FOR EMPLOYMENT