ࡱ>  bjbj ooMMTeQQQR4Re eTUUUU%WvW<W ddddddd fhdWW!WWWdWYMMUUhdWYWYWYWMRU8UdWYWdWYWYY["ZoV+QXYZ d0 eY_iWY_iZWYZWWWee3IIeeII :     Application for Employment Name Date Last First Middle Address Street City Province Postal Code Telephone # ( ) ___ Other Phone # ( ) __ Email _________________________ Referred by Position(s) applied for Date available Salary Range Languages:  FORMCHECKBOX English  FORMCHECKBOX  French  FORMCHECKBOX  Other _________________________ Hobbies or Extracurricular Activities Please tell us what you like to do when not working EDUCATIONAL BACKGROUND List previous three (3) educational institutions attended, beginning with the most recent. DEGREE(s)/DIPLOMA(s)SCHOOLCITY, ProvinceGRADUATED?EARNED  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX Yes  FORMCHECKBOX No MOST RELEVANT PAST EXPERIENCE Based on what you know about DECODE, what is the ONE experience that is most relevant in your background? EMPLOYER/iINITIATIVETELEPHONEDATES EMPLOYEDSUMMARIZE THE TYPE OF WORK( )FROMTOPERFORMED AND JOB RESPONSIBILITIESADDRESSJOB TITLESalarySTARTINGIMMEDIATE SUPERVISOR AND TITLE$perREASON FOR LEAVINGSalryFINALMAY WE CONTACT FOR REFERENCE?$per  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX Later OTHER EMPLOYMENT BACKGROUND THAT MAY BE RELEVANT EMPLOYERTELEPHONEDATES EMPLOYEDSUMMARIZE THE TYPE OF WORK( )FROMTOPERFORMED AND JOB RESPONSIBILITIESADDRESSJOB TITLESalarySTARTINGIMMEDIATE SUPERVISOR AND TITLE$perREASON FOR LEAVINGSalryFINALMAY WE CONTACT FOR REFERENCE?$per  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX LaterEMPLOYERTELEPHONEDATES EMPLOYEDSUMMARIZE THE TYPE OF WORK( )FROMTOPERFORMED AND JOB RESPONSIBILITIESADDRESSJOB TITLE/SALARYSTARTINGIMMEDIATE SUPERVISOR AND TITLE$perREASON FOR LEAVING/SALARYFINALMAY WE CONTACT FOR REFERENCE?$per  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX LaterEMPLOYERTELEPHONEDATES EMPLOYEDSUMMARIZE THE TYPE OF WORK( )FROMTOPERFORMED AND JOB RESPONSIBILITIESADDRESSJOB TITLE/SALARYSTARTINGIMMEDIATE SUPERVISOR AND TITLE$perREASON FOR LEAVING/SALARYFINALMAY WE CONTACT FOR REFERENCE?$per  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX Later COMMENTS INCLUDING EXPLANATION OF ANY GAPS IN EMPLOYMENT: PLEASE ANSWER THE FOLLOWING QUESTIONS 1. What was the best job youve ever had? Why did you like it so much? 2. Who was the best supervisor or manager youve had? What characteristics made that person a good manager? 3. Which of your strengths do you believe will make DECODE stronger? 4. In what ONE area are you currently working to improve? Please explain how _ 5. Which of the following would you say you are strongest in and which are you weakest. (just write strongest, weakest next to the one that fits best) Displaying passion and knowledge about younger generations Ability to acquire, assess and build new insights into knowledge Ability to create innovative solutions to a wide range of problems Ability to communicate written and oral through strong storytelling Ability to manage complicated multi-phase projects efficiently Ability to manage complex clients 6. Which of the follow are the most important to you in considering a new job? (Pick your top three) Strong leaders and supervisors A great team to work with Good training and development Working for a company that has a social conscience Work life balance A good compensation and benefits package An opportunity for promotion and advancement An opportunity for international travel A variety of work Challenging work 7. How have your displayed your leadership skills in the past? 8. If you won five million dollars in the lottery, what would you do with your time? 9. How would you describe the different people networks that you are part of or connected to? 10. Whats the funniest thing to happen to you at work? REFERENCES List the name, relationship, number of years acquainted, and phone number of three references. (No relatives please). YEARSPHONE NAMERELATIONSHIPACQUAINTEDNUMBER ( ) ( ) ( ) I certify that all the information I have provided is true, complete and correct. I authorize you and your organization to investigate all statements contained on this application. I understand that any misrepresentation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal. Furthermore, I understand and agree that if employed, I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not in any way constitute an agreement or contract for employment. I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in Canada. 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