Application for Employement




Personal Information


Last name:
First name:
Street address:
Apartment no.:
City:
Province:
Postal code:
Telephone (residence):
Telephone (message):
Language(s) spoken: French English Other
Language(s) written: French English Other




















Educational Background - Training



Program
Title of Course
Last year completed
 Diploma obtained
High school
from to
1 2 3
4 5 6
High school diploma
Vocational diploma
Pre-university college
from to
1 2 3
Diploma of collegial
studies
Attestation of collegial
studies
University
from to
1 2 3
4 5
Certificate
Degree
Other
Are you currently taking a course or courses? Yes No
If yes, in what program?
Do you plan to pursue your studies? Yes No






















Other Information



How did you learn about our job openings? Newspaper Employement Centre Internet Other
Personal contacts, friends or relatives employed by MV Express Inc.
Are you able to work in Canada and in the United States? Yes No
Would you have a vehicle to use to report to work? Yes No
Do you hold competency certificates? Yes No
If yes, please specify:
Do you hold a CLASS 1 driver's licence? Yes No

















Work Experience



(Enter your last two jobs, beginning with the most recent.)
Name of employer:
from to
Current or initial salary:
Name of your supervisor:
Your supervisor's position:
Telephone number:
Your position title:
No. of hours worked per week:
Full-time Part-time
Day Evening Night On call
Your principal duties and responsabilities:























Name of employer:
from to
Current or initial salary:
Name of your supervisor:
Your supervisor's position:
Telephone number:
Your position title:
No. of hours worked per week:
Full-time Part-time
Day Evening Night On call
Your principal duties and responsabilities:























I authorize MV Express Inc. and any company mandated by it to:
Yes No transmit my previous medical records, as well as consult my file at the Commission de la santé et de la sécurité du travail du Québec, provided that the medical information transmitted is related to the position being applied for or to enrolment in an employee benefits plan;
Yes No cause me to undergo a medical examination by a physician assigned by MV Express Inc.;
Yes No release my Social insurance number for administrative purposes;
Yes No contact my previous employers for references;
Yes No release information concerning my employment and salary to financial institutions who may so request, as required.
Any false declaration, inaccuracy or omission on my part may lead to my candidature being refused or my dismissal, as applicable. MV Express Inc. is an equal opportunity employer. We thank all those who apply; however, only those under consideration will be contacted.
















E-mail: Date