Industrial ApplicationIndustrial Application If you are human, leave this field blank. AvailabilityPlease Indicate the days & times you are available * Sunday Monday Tuesday Wednesday Thursday Friday SaturdayTimes available * Day Afternoon Night AllPersonal Information First Name * Last Name * Today's Date * Address * City * Province * Postal Code * Cell Number * Email * SIN SIN will be required at time of interview or before your first assignment. Birthdate * Gender * Male Female OtherOtherDo you have use of an insured vehicle? * Yes NoDo you have a valid driver’s license? * Yes No Your weight * Your height * Do you hold a First Nations Status card? * Yes NoAre you interested in participating in subsidized training? * Yes NoIf you are interested in setting up E-Transfer, please contact the payroll department How did you hear of Best Personnel Inc? * Friend Metro Google Client Event Facebook Indeed Craigslist Transit Bike Rack BC Jobs Other How did you hear of Best Personnel Inc? Have you ever worked for an employment service before? * Jobs Placed (Location) Indicate Your Experience in the Following Trades Restoration/House Cleaning Construction Clean Up Hoist Painting Janitorial Skilled Labor Section 5 Drywall / Steel Stud Recycling Demolition Carpentry – Framing Lead Hand / Foreman Warehouse / Production Rebar Carpentry – Forming Scissor Lift Furniture Mover Form Stripping Carpentry – Finishing Aerial Boom Lift Driving Slab On Grade Carpenter Helper – Framing Telehandler / Rough Terrain Forklift Class 1, 4 or 5 Construction Safety Officer Carpenter Helper – Forming Skid Steer Forklift Class 2 Occupational First Aid Level 1 Carpenter Helper – Finishing Excavator Landscaping Occupational First Aid Level 2 Concrete Placing Bobcat Construction General Labor Occupational First Aid Level 3 Concrete Finishing Traffic Control Person Safety Training Tickets WHMIS H2S Confined Space Entry Trans. Of Dangerous goods Fall Protection Respirator Fit Testing Lockout Scaffolding Rigging High Voltage Clearance Excavations Electrical Safety Food Safe or Serve it Right Traffic Control Person Construction Safety Officer Forklift 1, 4 or 5 Forklift 2 Occupational First Level 1, 2, 3 Hoist Section 5 Scissor Lift Aerial Boom Lift Telehandler Skid Steer Excavator Bobcat Other (please specify) Equipment ListHard Hat Yes NoReflective Vest Yes NoSteel Toe Work Boots Yes No6" over ankleHammer Yes NoCarpenters Tool Belt Yes NoTraffic Control Paddle Yes NoIs it reflective?Rain gear? Yes NoIs it reflective?Leg and Wrist Cuffs Yes NoSafety Glasses Yes NoSteel Toe Rubber Boots Yes NoWork Gloves Yes NoFall Protection Harness Yes NoRespirator Yes NoSteel Toe Work Shoes Yes NoSafety ConcernsHave you ever submitted a W.C.B. Claim? Yes No If yes, what happened Do you have any history of back problems? Yes NoDo you have any concerns about working with heights Yes NoDo you have any concerns about lifting heavy weights Yes No(Heavy = over 40lbs)? Lifting policy is no more than 40lbsDo you have any concerns about working with chemicals? Yes No Other medical concerns, please specify Personal HealthDo you have a heart condition? Yes NoDo you have epilepsy? Yes NoDo you have diabetes (Type 1 or 2)? Yes NoDo you have high blood pressure? Yes NoHave you ever had a hearing problem? Yes NoHave you ever had a hernia? Yes No Other personal health concerns, please specify This information is in confidence but is necessary to ensure that if you are employed and placed on a worksite that your safety and the safety of others will not be at risk. Are you presently receiving a prescription for medication including methadone or marijuana that may affect your performance or safety Yes NoPlease ask us about your TD1 federal and provincial tax credits.Work References Company Phone Your Job Title Reason For Leaving Supervisor Address Dates Worked At Location Work References Company Phone Your Job Title Reason For Leaving Supervisor Address Dates Worked At Location Work References Company Phone Your Job Title Reason For Leaving Supervisor Address Dates Worked At Location AgreementI authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal. Further, I understand and agree that my employment is not necessarily for a definitive period. If Best Personnel Inc. sends me to a site that offers me full time work, I will contact Best Personnel Inc. Date Signature * Captcha Submit
