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Registration Date : October 02, 2022

Personal information
Last name :
First name :
City :
Address :
Postal code :
S.A.N. :
Email address :
Home Phone :
Mobile Phone :
Work Phone :
Relatives Phone :
Date of birth :
Position requested : 1)
2)
Salary expectation : / hourly
C.V :

Availability
Availability Date:
Full time Part Time
Flexible permanent only

Languages

Spoken

Written
English :
French :
Other :

Security clearance
Do you have a valid security clearance? Yes No
Level : Reliability
Secret
Top Secret
PWGSC File :
Date of validity :

Education

Level

Name of school

Courses of study

Year of Graduation

Degree Type
High School (HSD) :
Diploma of Vocational Studies (DVS) :
Attestation of Collegial Studies (ACS) :
College :
University :
Other :

Computer Skills
Ms-Word:  Ms-Excel:  PowerPoint:  Ms-Access: 
WordPro:  Simple Comptable:  FreeBalance:  Lotus 1-2-3: 
WordPerfect:  S.A.P:  Oracle:  RIMS / IRIMS: 
CCM+:  CCM Mercury:  WEBCIMS:  Outlook: 
Lotus Note:  HTML:  Adobe Suite:  OSX: 
Typing skills : Words per minute

Work experience

First reference
Company Name :
Address :
Position :
Salary :
Start date :
End date :
Reason for leaving :
Supervisor :
Telephone :
Can we contact them? : Yes No
If not, why??

Second reference
Company Name :
Address :
Position :
Salary :
Start date :
End date :
Reason for leaving :
Supervisor :
Telephone :
Can we contact them? : Yes No
If not, why?

Comment

CERTIFICATION : My signature below certifies that all information in this registration form is correct and complete to the best of my knowledge and I understand that intentionally falsifying information could result in refusal of assignements or discharge. I do hereby consent to the disclosure of the following information and its subsequent verification.