Position Applying For (List specific or indicate "Any")
First Name
Last Name
Address
City
Province
Postal
Telephone (Home)
Telephone (Other)
Email Address (Optional)
Date Available To Start
Previously Employed By Lux Windows Yes No
If yes, when?
List any friends or relatives employed here:
Can you legally work in Canada?
If employed, do you have reliable means of transportation to get to work? Yes No
School
Grade/Year
Company
Position
Supervisor
Telephone
Date Employed
Wage
Reason For Leaving
May we contact the above employer(s)
List three references, other than relatives:
Name
Phone
I certify that the facts set forth in this employment application, are true and complete. I understand that if I am employed, any false, incomplete, misleading or omitted information on this application shall be grounds for termination. It is further understood that by signing this application, I am signing a release for any and all pictures taken of me at Lux Windows and Glass Ltd. , whether they be used for advertising, publicity or other purposes.
When completed and signed, this document becomes the property of Lux Windows and Glass Ltd. If sending by e-mail, you will be required to sign a printed version of this application that we will provide if you receive an interview.
Agree to terms above
