JOIN THE PROTORQUE TEAM Progressive? Eager? Driven? We want to hear from you. Do not apply if you are outside Canada or the USA. Application for Employment: CANADA Fields marked with * are mandatory. *Position Applied For How did you learn about us? Advertisement Employment Agency Friend Relative Walk-In Other Personal Information *Last Name *First Name Middle Initial *Street Address *City *Province *Country *Postal Code How long have you lived at this address? *Years *Months Telephone Numbers *Home Work Cellphone *May we contact you at work? Yes No *Email Address *Do you have any friends or relatives that work at ProTorque? Yes No If yes, please state their name(s) and relationship to you *Have you ever filed an Application with ProTorque before? Yes No If yes, please note with which Operation and approximate date *Due to the nature of PT business, we are sometimes required to complete a pre-access drug test. Are you willing to take and pass a pre-employment/pre-access drug test? Yes No *Are you willing to spend extended periods of time away from home? Yes No *Are you able to lift up to 50lbs throughout the day? Yes No *Are you currently employed? Yes No If yes, where are you currently employed? If yes, may we contact your current employer? Yes No *On what date would you be able to begin work? *Do you have a dependable means of transportation to and from work? Yes No *Do you have a valid driver’s license? Yes No What class is your drivers license? *Has your license ever been suspended? A suspended license does not automatically make you ineligible for employment with ProTorque. Yes No If your license has ever been suspended, please explain: *Have you had any motor vehicle accidents in the past 3 years? Yes No If yes, how many? *Have you been convicted of a felony within the past seven (7) years? If yes, explain at interview. (Indicating yes will not automatically or necessarily eliminate you from consideration for employment) Yes No Education High School *School Name Course of Study *Years Completed *Diploma Undergraduate College Business / Trade / Professional School School Name Course of Study Years Completed Diploma/Degree Graduate / Professional School Name Course of Study Years Completed Diploma/Degree Other (Please Specify) School Name Course of Study Years Completed Diploma/Degree Additional Information Summarize special job related skills & qualifications you feel may be helpful to us in considering your application. Employment Experience Please begin with your present or most recent job. Include any job-related military service assignments or volunteer activities. Please DO NOT state “See Resume”. The Application must be completed in its entirety. Incomplete Applications will not be considered for employment. Most Recent Employer *Company Name *Company Phone *Employed From *Employed To *Work Address *Supervisor Name *Supervisor Phone *Job Title *Starting Wage/Salary *Ending Wage/Salary *Work Performed *Reason for Leaving Previous Employer Company Name Company Phone Employed From Employed To Work Address Supervisor Name Supervisor Phone Job Title Starting Wage/Salary Ending Wage/Salary Work Performed Reason for Leaving Previous Employer Company Name Company Phone Employed From Employed To Work Address Supervisor Name Supervisor Phone Job Title Starting Wage/Salary Ending Wage/Salary Work Performed Reason for Leaving Previous Employer Company Name Company Phone Employed From Employed To Work Address Supervisor Name Supervisor Phone Job Title Starting Wage/Salary Ending Wage/Salary Work Performed Reason for Leaving Previous Employer Company Name Company Phone Employed From Employed To Work Address Supervisor Name Supervisor Phone Job Title Starting Wage/Salary Ending Wage/Salary Work Performed Reason for Leaving Professional References Please list a minimum of three professional references of individuals to whom you reported and who are not related to you. *Name *Phone Number *Where did he/she supervise your work? *Name *Phone Number *Where did he/she supervise your work? Name Phone Number Where did he/she supervise your work? SUBMIT APPLICATION