APPLICATION FOR EMPLOYMENT
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1 APPLICATION FOR EMPLOYMENT Please indicate with which company within Paper Excellence you are applying: Paper Excellence (Head Office) Meadow Lake Mechanical Pulp Inc. # Shellbridge Way PO Box 9100 Richmond, BC V6X 2W8 Meadow Lake, SK S9X 1V7 Prince Albert Pulp Inc. PO Box 3001 Prince Albert, SK S6V 5T5 Mackenzie Pulp Mill Inc. PO Box 2609 Mackenzie, BC V0J 2C0 Howe Sound Pulp & Paper Corp Port Mellon HWY Port Mellon, BC V0N 2S0 Northern Pulp Nova Scotia Corp. PO Box 549, Station Main New Glasgow, NS B2H 5E8 Name: Last First Position being applied for: Date available start work: What type of work are you willing accept? (select all that apply) Permanent Temporary Seasonal Full Time Part Time Casual Have you ever worked for Paper Excellence before? Yes No If Yes, which location? Dates employed: Last Updated: September 28, 2012 Page 1 of 5
2 PERSONAL INFORMATION Current : Street/Box Number City Cell Phone Number: Province Home Phone Number: Postal Code Do you have a valid driver's license? Yes No Are you willing work shifts? Yes No (can include evenings, weekends & holidays) If No, please explain restrictions: Are you legally entitled work in Canada? Yes No EMPLOYMENT RECORD Please list all employment starting with the most recent/current employer. Provide separate pages if additional space is required. 1. May we contact this employer? Yes No Page 2 of 5
3 2. May we contact this employer? Yes No 3. May we contact this employer? Yes No Page 3 of 5
4 Names of High School, Colleges, Universities, Special Programs of School EDUCATION & TRAINING Diploma/ Date Degree University/ College Grad. Date Earned From To Yes No Minor Major Personal Computer Skills/ Software Use: (Specify Software) Keyboarding Speed: Word Processing Deskp Publishing SAP WPM Spreadsheets Graphics Programmer Languages List any specialized technical skills, equipment or machines used: TOOLS: MACHINES/EQUIPMENT: List any other special education, certificates, trade qualifications, special training or other work related skills that you have obtained: What do you enjoy doing in your spare time? GOALS & INTERESTS Describe the kind of work desired and your career ambitions. Page 4 of 5
5 ADDITIONAL INFORMATION/COMMENTS How can Paper Excellence best utilize your training and experience? Work Related References Name: Name: Company: Company: : : Telephone: Telephone: Position: Position: I certify that the information shown on this application and in other documents I have referred is true. I understand that any falsification, misrepresentation or withholding of relevant information will be cause for denial of employment or immediate termination when discovered after employment. In connection with my application form, and any subsequent employment with Paper Excellence, I hereby authorize any person, organization, reference, agency (which may include credit bureaus, law enforcement agencies, driver licensing bureaus and educational institutions where permitted by law) supply Paper Excellence or its agent(s) as its duly authorized representatives, any job related information that Paper Excellence deems relevant my qualifications for employment and is used by Paper Excellence in accordance with law. I release Paper Excellence and its officers, direcrs and agents from any and all liability, responsibility, damages and claims of any kind whatsoever arising from inquiries. I acknowledge that I am aware should Paper Excellence choose implement a drug testing policy my employment may be terminated if I am impaired by drugs or alcohol while at work. I understand that any offer of employment may be subject me completing a medical hisry form and taking a physical examination which may include drug testing. By signing this form, I agree with the above statements and allow Paper Excellence complete credential checks, unless otherwise stated previously in this form. X Applicant's Signature Date Signed Page 5 of 5
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