Christian Horizons Career Opportunities
On-Line Application
Date
Last Name
First Name
Middle
Street Address
Home Phone
City
Province
Postal Code
How long at present address?
Position Applying For
Preferred Location
Employment Type
Full-time
Part-time
Temporary/Relief
Co-op/Other
Previously employed by Christian Horizons?
Yes, Date(s)
No
Date Available for work
List any relatives or friends working for Christian Horizons or serving on its Board of Directors
Name
Relationship
Name
Relationship
EDUCATION - Please complete any applicable sections of the following chart
Course of Study / Years Completed
Did you Graduate?
Diploma / Degree
High School
Yes
No
Trade/Business School
Yes
No
College or University
Yes
No
Graduate School
Yes
No
Have you worked in the developmental services field?
Yes
No If yes, Type:
How long?
Social Services Experience (Describe any and all qualifications)
Have you been convicted of a criminal offence for which a pardon has not been granted?
Yes
No
(A conviction record will not necessarily be a bar to employment.)
If yes, please describe in full detail below
Are you 18 years of age or more?
Yes
No
Are you legally eligible to work in Canada?
Yes
No
WORK EXPERIENCE - List Present and Former Employers for the last 10 years beginning with the most recent
Name and Address
of Company
Supervisor
Describe Your Work
Last Wages
Date
Started
Date
Left
Reason For
Leaving
$
$
$
$
Why do you wish to work for Christian Horizons?
As part of its evaluation of my suitability for employment, I authorize Christian Horizons to contact my former employers or personal individuals
for references
Yes
No
EMPLOYMENT AND PERSONAL REFERENCES
Name / Address of Reference
Telephone
Years Known
Employment - Name
Address
Employment - Name
Address
Personal - Name
Address
Personal - Name
Address
Attach Your Resume
APPLICANT'S CERTIFICATION - Please read carefully.
Yes, I certify that, to the best of my knowledge, the answers given by me to the foregoing questions and the statements made by me in this application are correct and complete. I understand that misrepresentation or omission of facts in this application may lead to my discharge.
Signature:
________________________________________
(Signature will be obtained during interview)
