First name - Groupe Brunet

Application for employment
Published by the Human Resources Department
IDENTIFICATION
Mrs / Miss
Mr
Name:
First name:
Address:
Apt.:
City:
Province:
Phone:
Cell:
Postal code:
TYPE OF EMPLOYMENT SOUGHT (PLEASE CHECK THE BOXE OR BOXES THAT APPLY)
Management
Day labourer
Welder
Lift operator
Maintenance
Administrative support
IT
Engineering
Assembler
Accounting
Mechanic
Quality control technician
Technical drawer
Research and development
Civil engineering technician
Estimator
Dispatcher-batcher
Sales
Truck driver class ____
Storage
Signaling
Other (specify): ________________________
AVAILABILITY
Day
Evening
Night
Weekend
Full-time
Part-time (number of hours desired: ____)
Contractual
Summer job
PREFERABLY WORKPLACE
To enable us to process your request, please check the workplace you want:
Béton Brunet limitée, S.-de-Valleyfield, Quebec
Béton Brunet 2001 inc. (Branch: Salaberry-de-Valleyfield, Québec
Les produits de béton Casaubon inc., Ste-Élisabeth, Quebec
Distribution Brunet inc. (Branch:
Produits de Béton Soulanges, St-Polycarpe, Quebec
Industries B & X inc., S.-de-Valleyfield, Quebec
Nahima Brunet, Fermont, Quebec
Next Polymers, Prescott, Ontario
Société de Services en Signalisation SSS (Branch: Laval, Québec
Western Construction Products (Branch:
US Construction Supply Corp. (Branch:
Concrete Products of the Palm Beaches, Inc. (Branch:
)
)
)
)
)
)
Only succesful candidates will be contacted. Thank you for your understanding.
Notes: This form is strictly confidential and is the property of Groupe Brunet.
The masculine gender has been used in order to facilitate the reading of the document.
EDUCATION
Secondary:
Year: ______
College:
Year: ______
Diploma:
Professional:
Year: ______
Diploma:
University:
Year: ______
Diploma:
WORK EXPERIENCE
Employer:
Job title:
Duration:
from (mm/yyyy):12
/
to (mm/yyyy): 12
/
from (mm/yyyy): 12
/
to (mm/yyyy): 12
/
Salary:
Reason of leaving:
Tasks/Responsibilities:
WORK EXPERIENCE
Employer:
Job title:
Duration:
Salary:
Reason of leaving:
Tasks/Responsibilities:
Were you referred by one of our employees? If so, please let us know who referred you:
I declare that the information provided on this form to be true and complete. I understand that any false statements may result in
the rejection of my application or dismissal.
Signature
Note: In the electronic version, the signature is not required.
DD / MM
MM / 20YY
DD
Date