Employment Application

Date

Available Date

Phone

Alternate Phone

Wage Expectation

Personal Information

Name

Suffix Mr
Mrs
Ms

Marital Status Married
Single
Common Law

Maiden Name (if applicable)

Spouse Name (if applicable)

Street Adress

City

Province

Postal Code

Additional Address

Home Phone

Work Phone

Cell Phone

Email Adress

Gender Male
Female

Birthdate

Agreed Wage

Your SIN# and Banking Information will be required on the first day of employment for Payroll Purposes.

Driving Info

License #

License Type

Province Held

Expiration Date

Reference(s)

Current Employer

Current Employer Name

Phone

Length of Time

Position

Consent to contact Current Employer Yes
No

Previous Employer

Previous Employer Name

Phone

Length of Time

Position

Date Left Previous Job

Reason for Leaving

Contacts

Name

Relationship

Home Phone

Cell Phone

Address

City

Province

Postal Code

Emergency Contact (Person you DO NOT travel with)

Name

Relationship

Home Phone

Cell Phone

Address

City

Province

Postal Code

Dependents (If Applicable)

Name

Relationship

Birth Date

Gender Male
Female

Address (If different from Applicant)

Name

Relationship

Birth Date

Gender Male
Female

Address (If different from Applicant)

Name

Relationship

Birth Date

Gender Male
Female

Address (If different from Applicant)

Name

Relationship

Birth Date

Gender Male
Female

Address (If different from Applicant)

Education

Level of Education Completed

Institution

Class/Yr

Apprenticeship Training Yes
No

Level Completed

Journeyperson Plumbing License #

Journeyperson Gas Fitter Ticket #

Type Domestic
Commercial

Journeyperson Sheet Metal License #

*Note: 1st year wage rate will apply to all accepted applicants until certification is submitted (copy of original) and verified by the office.

*Note: It is the applicant’s responsibility to correspond with Pro-Western Mechanical and the apprenticeship board regarding all APPRENTICESHIP information. I.E. hours in the trade, school dates (starting & ending).

Safety Training

Check all that apply GHS/WHMIS
First Aid & CPR
Fall Protection/Arrest
Confined Space Entry
Aerial Work Platform
PME
LSE
TDG

Other(s) Specify

Areas of Experience

Check all that Apply – Specify months/ years of experience Trenches
Hot Water Heating Rough In
Boilers
Service
Drainage/Rough In
Gas Lines
Finishing
Septic

Please Read Carefully Before Submitting

Your interest in Pro-Western Mechanical Ltd. is appreciated. PWM will consider the qualifications and experience of all applicants and will select the most qualified person for each position.

I understand that an offer of employment may require clearance of drug and alcohol screening, a medical examination, a criminal background check and a valid driver’s abstract (Not older than 90 days to be supplied by the applicant).

I certify all information is true. I authorize PWM to inquire into past employment, substantiate references, documentation and interviews.

I recognize and understand the need of Pro-Western Mechanical Ltd. to collect, use or disclose personal information for legitimate business purposes.

*Note: All documentation must be received before employee’s first pay will be processed.

I agree* I am not a Robot

Thank you for submitting your applicaiton. We will respond as soon as we are able! Enter the verfication code and press the Submit button to send us your application.

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