El Cheapo Movers Ltd.

How did you hear about El Cheapo?

Name:

Present Address:

Major Intersection:

How long at present address?:

Phone (Home):

Phone (Cell):

Email:

Date of Birth:

Have you ever worked at a moving company before?
yesno

If yes, state name of company(s):

Have you ever done physical labour before?
yesno

Date of availability:

Position applied for:

Do you have a valid driver’s license?

How many years of experience do you have with a G driver's license?

License Number:

Have you ever driven a 16 ft cube van?
yesno

Do you have a clean abstract?
yesno

Type of work desired:

Please state days available to work:

Are you able to work Saturdays?
yesno

Are you able to work month ends? (each month 25th to 2nd)
yesno

Are you legally entitled to work in Canada?
yesno

Are you in Canada on a work visa?
yesno

When does the visa run out?:

Do you have a vehicle for transportation to work?
yesno

Can you pass a police record check?
yesno

Are you 25 or over?
yesno

Anticipated compensation?:

Education:

RECENT CONTRACTS

Company #1:

Dates:

Contacts:

Position:

Reason for leaving:

Company #2:

Dates:

Contacts:

Position:

Reason for leaving:

Company #3:

Dates:

Contacts:

Position:

Reason for leaving:

OTHER

Please list languages spoken fluently:

Please list any special skills or training: