Towsley Construction ( Windsor, Ontario, Canada )

Personal Information

Full Name: ( Family, Given, Middle-Initial )

Present Address:

Street:
City:
Postal Code:
Prov.:
Permanent Address:
Street:
City:
Postal Code:
Prov.:

Phone Number:

E-Mail:

Are you related to anyone employed by us: Yes No

If so who?

Referred by:

Employment Desired

Position:

Date you can start:

Salary desired:

Are you employed now:Yes No

May we contact your present employer?: Yes No

Ever applied to this company before?: Yes No

When:

Education

	School Location & Name	Years Attended	Date Graduated
High School
College
Trade or Business School
Correspondence School

Subjects of special study or research work:
What official languages do you speak fluently?:
Canadian military service:
Activities other than religious (civic, athletic, etc.):

Former Employers

Name and Address of Employer:
Date	Salary	Position

Reason for Leaving:

Name and Address of Employer:
Date	Salary	Position

Reason for Leaving:

Name and Address of Employer:
Date	Salary	Position

Reason for Leaving:

References

Give below the names of three persons not related to you , whom you have known you for at least one year. do not use references of a religious or ethnic nature.
Name	Address	Business	Years Acquainted