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Date: __________________________
Welcome to Arrow Workforce Solutions. To help find you the best position, check the one that applies:
I am applying for: ⃝ General Labour ⃝ Forklift Operator ⃝ Other (e.g. Driver)
I have: ⃝ RF scanner experience ⃝ Safety shoes

BASIC INFORMATION (PLEASE WRITE IN CAPITAL LETTERS)

Last Name:
First Name:
Suite/Apt #
Address:
City: Province:
Postal Code:
Cell Phone: ( ) -
Alternate #: ( ) -
SIN: Expiry date of SIN, if applicable:

Email address: Date of birth:


M M D D Y Y Y Y

Emergency Contact Name: Relationship to Applicant:


Emergency Contact Number: ( ) -
DETAILS FOR WORK

Languages Spoken: Languages Written:


Can you produce evidence of the right to work in Canada? ⃝ Yes ⃝ No
Have you been convicted of a criminal offense for which
you have not been pardoned? ⃝ Yes ⃝ No
If yes, describe the nature of the offense:
Method of travel: ⃝ Car ⃝ Public Transport
Which subway station is nearest to you?

I am interested in these types of positions:


1. Salary range preferred: _____________________
2. City/Area of work preferred: _________________
3. Date available for work: _____________________

When can you work? Days Afternoons Nights Weekends Overtime


How did you hear about us? Friend Name:
Internet Site:
Other Specify:

Please turn the page over and fill in your references


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Date: __________________________
OFFICE USE ONLY

RF Shoes License Location

Days Aft Nights OT

Authorization: I hereby authorize Arrow to check references of my past employment and education, and agree to
relieve Arrow the liability which might result from obtaining information from others. I understand
that any misrepresentation (including omission of information) by me in the application will be
sufficient cause for cancellation of the application and/or separation from the company if I have
been employed. I understand that Arrow offers both permanent and temporary employment and
in the latter case, Arrow cannot guarantee the anticipated duration nor whether the contract will
lead to a permanent position. I understand that my employment with Arrow is voluntarily entered
into, and I am free to resign at any time. Similarly, Arrow is free to conclude our employment
relationship.

Applicant Name:

Applicant Signature: Date:

References:
Please provide 3 references from your previous employment

Company Name:
Manager Name: Title:
Phone Number:

Date worked (mm/yyyy) From: To:

Company Name:
Manager Name: Title:
Phone Number:

Date worked (mm/yyyy) From: To:

Company Name:
Manager Name: Title:
Phone Number:

Date worked (mm/yyyy) From: To: