On-Campus Job Application
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Job Application
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175 Holiday Inn Dr.
Phone: 519-651-2581
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Cambridge, ON
Fax: 519-651-2870
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N3C 3T2Email completed application to: dswitzer@heritage-theo.edu
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Personal Information
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Last FirstMIEmail
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Street AddressCityPostal CodeHome Phone
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Are you entitled to work in Canada?Cell Phone
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What position are you applying for?
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Date Available to Start: _______________________________________
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Times Available:MondayTuesdayWednesdayThursdayFridaySaturday
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Morning
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Afternoon
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Evening
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Prior Work Experience
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Current or Most Recent
PriorPrior
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Employer
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Address
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City
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Telephone
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Name of Immediate Supervisor
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Dates of EmploymentFromToFromToFromTo
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Position/Job Title
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Reason for Leaving
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May We Contact
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Person to Contact
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Education
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Name/Location
Last Year Complete
DegreeMajor or Emphasis
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High School9 10 11 12
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College/University1 2 3 4
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Trade School
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Other
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List any applicable special skills, training or proficiencies.
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Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records. Please note: Heritage welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process.

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