!!! Employment!Application!!!!

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1 EmploymentApplication SavonaSpecialtyPlywoodCo.Ltd. POBox127 Savona,BCV0K2J0 Phone:(250)373;5600Fax:(250)373;5665 Applicant sname Date Incompleteapplicationswillnotbeconsidered.

2 Pleaseattachyourresumetothisapplicationformandfullycompletethisapplicationinyourownhandwriting. SurnameFirstNameFullMiddleName StreetAddressCityProvincePostalCode MailingAddress(ifdifferentfromStreetAddress)CityProvincePostalCode TelephoneNumberAlternateNumber ArelegallyentitledtoworkinCanada?Haveyoueveryworkedatthissite? Yes No Yes NoIfso,when? Doyouhavereliablemeansoftransportationtogettowork? Yes No JOBINTEREST Whattypeofworkareyouapplyingfor? HaveyouappliedfororrequestedemploymentwithSavonaSpecialtyPlywoodorwithinthisindustrybefore? Yes NoWhen?OtherCompanies? DoyouhaveanyrelativesworkingforSavonaSpecialtyPlywoodoranyoftheAPGroupofCompanies? Yes No Ifso,where? WhyhaveyouappliedtoSavonaSpecialtyPlywoodCo.Ltd.? Willyouacceptshiftwork? Yes NoWorkonSaturdays? Yes NoWorkonSundays? Yes No Willyouwork10;hourshifts? Yes NoWillyouwork12;hourshifts? Yes No Whencouldyoustart?Doyouholdavaliddriver slicense? Yes No Provinceofissue: Class: Whattypeofworkwillyouaccept? Permanent Temporary Part;Time EDUCATIONALSKILLS SchoolNameandAddress Year Completed Years Attended Degree/Certificate Held HighSchoolGradeCompleted Technical/VocationalSchool CollegeorUniversity Pleaselistanyadditionalskillsyouhavethatdirectlyrelatetothejobyouareapplyingfor(i.e.heavydutyequipment,safetytraining,etc.) Note:Youwillberequiredtoprovideproofofallcredentialsbeforebeinghired.

3 EMPLOYMENTHISTORY Pleaselistemployersforthepasttenyears,givingpresentemployerfirst.Attachaseparatesheetifnecessary. CompanyCityProvincePhone LengthofServiceDidyousuperviseothers?Howmany? FromTo Yes No YourtitleatstartTypicalDutiesStartingsalary YourtitlewhenleavingTypicalDutiesSalaryatleaving Maywecontactthisemployerforreferences? Yes No Reasonforleavingordesiringtoleave CompanyCityProvincePhone LengthofServiceDidyousuperviseothers?Howmany? FromTo Yes No YourtitleatstartTypicalDutiesStartingsalary YourtitlewhenleavingTypicalDutiesSalaryatleaving Maywecontactthisemployerforreferences? Yes No Reasonforleavingordesiringtoleave CompanyCityProvincePhone LengthofServiceDidyousuperviseothers?Howmany? FromTo Yes No YourtitleatstartTypicalDutiesStartingsalary YourtitlewhenleavingTypicalDutiesSalaryatleaving Maywecontactthisemployerforreferences? Yes No Reasonforleavingordesiringtoleave

4 Stateindetailbelowthespecificexperienceyouhavegainedthroughyourtrainingandpreviousemployment,and anyotherinformationthatmighthelpinplacingyou.attachanadditionalsheetifnecessary. Pleaselistatleasttworeferencesotherthanpreviousemployersorrelatives.Includetheperson sname,placeof employment,titleorposition,addressandtelephonenumber.

5 CAREERINTEREST HowdoyouseethisopportunitywithSavonaSpecialtyPlywoodmatchingupwithyourstrengthsandinterestsinwood productsmanufacturing? The$ foregoing$ statements$ are$ correct$ to$ the$ best$ of$ my$ knowledge.$ $ I$ understand$ any$ misrepresentation$ may$ disqualify$me$from$employment$or$be$cause$for$my$dismissal.$ $ I$authorize$the$companies$and$persons$named$above,$with$the$exception$noted$by$me,$to$give$any$information$ regarding$ my$ previous$ employment.$ $ If$ hired,$ I$ agree$ to$ abide$ by$ all$ rules$ and$ regulations$ of$ the$ Company,$ including$serving$an$initial$probationary$period.$ $ I$ agree$ to$ submit$ to$ a$ medical$ exam$ and$ drug$ screening,$ which$ will$ be$ conducted$ at$ an$ accredited$ facility$ identified$by$the$company.$$ Signature Date

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