Primary Care Paramedic Employment Application

Instructions

Please complete all sections as thoroughly as possible and be prepared to include the documents requested in Section 7 if invited to attend pre employment testing. It is necessary to provide complete information as this will be used to determine eligibility and qualifications for employment. A
separate application is required for each competition. Along with your Application, please be sure to attach a copy of your Cover Letter and Resume.

The personal information requested on this form is collected and managed as per the Municipal Freedom of Information and Protection of Privacy Act, R. S. O. 1990. All information provided to us is considered supplied in confidence.

Section 1: POSITION INFORMATION

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Competition/Posting #:

Date Available for Work:

Type of Position Preferred:

Full-time
Part-time
Casual

Section 2: PERSONAL INFORMATION

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Last Name:

First Name:

Middle Initial(s):

Mailing Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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Primary Phone Number:

Alternate Phone Number

Email

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Are you legally entitled to work in Canada? Note supporting documentation may be required.

Yes
No

Have you ever been convicted of a Criminal Offence for which you have not received a pardon and that prohibits you from working under the position you are applying for?

Yes
No

Primary Care Paramedic Employment Application

Instructions

Section 1: POSITION INFORMATION

Section 2: PERSONAL INFORMATION

Section 3: EDUCATION, TRAINING, PROFESSIONAL ASSOCIATIONS

Section 4: EMPLOYMENT HISTORY

Section 5: OTHER

Section 6: WORK RELATED REFERENCES

Reference #1

Reference #2

Reference #3

Section 7: PROOF OF QUALIFICATIONS

Section 8: COVER LETTER & RESUME

Section 9: AGREEMENT

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