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PERSONAL DATA
First Name
Last Name
e-Mail Address
Home Phone
Cell Phone
Address
 
City
Province
Are you legally entitled to work in Canada?
Yes No
Have you been convicted of a criminal offence for which you have not been pardoned?
Yes No
What languages
do you speak?
How did you hear
about MiraTel?

AVAILABILITY:
Are you seeking full-time, part-time or occasional employment?
Full-Time Part-Time Occasional
What is the earliest
date you are available
for work?
What are your hours of availability for work? Please list your earliest start time and latest finish time that you are available. Keep in mind we are a 24 hour 7 day a week operation.
  MON TUE WED THU FRI SAT SUN
EARLIEST START
LATEST FINISH

EDUCATION
What is your highest
Level of Education?
Institute Name:
Year:
Program:
WORK HISTORY
Are you currently employed?
Yes No
Where was your
most recent place
of employment?
Position:
Name of Organization:
City:
Reason for Leaving:
Employment Reference:
Position:
Name of Organization:
City:
Reason for Leaving:
Employment Reference:
 
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