LETS START APPLICATION FORM Please fill out the Application form below . Before you submit your form please read the Career Shepherd Placement Solutions Terms and Conditions Policy Referral Source * * FriendRelativeEmployment AgencyCareer Shepherd Placement Solutions WebsiteInternet SearchWalk-inOther PERSONAL DETAILS Name * Email * Date of Birth * Gender * MaleFemale Street Address City Province Postal Code Home Telephone No. Cell No. Status * Citizen/PRWork PermitStudent Transportation * By BusBy Car PREFERRED HOURS Preferred Working * Full TimePart TimeWeekend You should be willing to work flexible across the week and work more than 8 hrs per day ( to maximum 13 hrs per day) and 48 hrs per week (to maximum 60 hrs per week) . You also agree to average your work hours bi-weekly. Please indicate (x) when you are available* Morning Afternoon Night Tuesday Wednesday Thursday Friday Saturday Sunday x1x POSITION APPLIED FOR: Choose a position * General HelpMachine OperatorAssemblerShipper/ReceiverOrder PickerForklift OperatorPackagingOffice AdminData Entry ClerksDriver: G LicDriver: AZ LicDriver: AZ LicOther NON -DISCRIMINATION POLICY: Career Shepherd Placement Solutions is committed to the principle of equal opportunity in employment. We do not discriminate on the basis of sex, race, creed, national origin, age, religion, sexual orientation, gender identity, gender expression, veteran status, or disability in admission to, access to, treatment in, or employment in its programs and activities. TERMS AND CONDITIONS: Please read the Terms and Conditions Policy. I have read Career Shepherd Placement Solutions Terms and Conditions Policy, and agree to the terms and conditions therein. * Yes DECLARATION I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to false or misleading, any offer of employment may be withdrawn or employment terminated or any disciplinary or legal action may be initiated. I also certify that I have read and understood the policies and procedure, rules and regulations related to workplace harassment, attendance and punctuality and health and safety including the right to refuse work as per OHSA. I realize that failure to comply could result in my dismissal. Δ