New Student Job Application

First Name:

Last Name:

Email:

Street:

Home Phone:    

City:

Cell Phone:    
Other Phone:    

State/Country:

 
Zip:    
Academic Major:
Father's Name:
Mother's Name:     
Do you have a driver's license?         Yes         No         Stick         Auto
The following information will help us determine your first crew assignment.
Please check:
I prefer to work   alone   with others.   no preference.
I prefer a   flexible   structured work situation.
I prefer to work   indoors   outdoors   no preference.
I prefer   physical   mental      labour.   no preference.
Life Guard Certification   yes   lapsed            CPR          First Aid
Describe any special skills you have which you feel would be beneficial to the Work Program. For example: experience with computers, heavy machinery, clerical, cameras, and/or electrical/carpentry/plumbing knowledge.

Tell us about the jobs you have had and what you liked and disliked about them.

The Work Program Office wants to know what technical or personnel skills you have. Describe the jobs or volunteer projects where you have obtained and/or utilized those skills.

If you have any special medication or physical limitations that will affect your job assignment, please list these and provide us with a supporting statement from your physician.