Application for Work Experience
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Last Name: *
First Name *
Do you drive? *
Do you have your own transportation to get to and from a work placement? *
Your Phone Number - The best one to reach you at:
Your email:
Date of Birth: *
MM
/
DD
/
YYYY
Focus or Area of Interest: *
Relevant Courses taken in Grade 11 and 12 *
Required
Past Work Experience:
include volunteer work, babysitting, paper routes, etc.
Hobbies & Interest:
at least 2
Special Skills:
First Choice Job *
What job would you like the most
Second Choice Job *
Third Choice Job
Fourth Choice Job
Submit
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