Summer Student Application Form

Contact Information

The personal information collected in this application is gathered under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used solely for the purpose of assessing your suitability for employment with the District of Rainy River Services Board. This information will be kept confidential and will only be disclosed as necessary to those involved in the hiring process. If hired, some of this information may also be used for employment administration purposes.

First Name:

Last Name:

Mailing Address:

Town/City:

Postal Code:

Educational Institute/Field of Study

Email:

Phone:

Alternative Phone:

References

Reference #1:

Phone:

Reference #2:

Phone

Reference #3:

Phone

of I References

Additional Information

Which summer student position are you applying for?

Child Care Assistant
Maintenance/Custodian Assistant

Earliest Available Start Date:

Last Date Available for Work:

List dates you may be unavailable to work:

Driver's License Information: I have …

I am legally entitle to work in Canada:

Yes
No

I have completed two (2) consecutive semesters of full-time studies ending spring, 2025:

Yes
No

I have registered for two (2) consecutive semesters of post-secondary studies beginning in September of 2025:

Yes
No

Upload Cover Letter

Click or drag a file to this area to upload.

Upload Resume

Click or drag a file to this area to upload.

Signature:

Clear Signature

I hereby declare that the above information is true and correct. I understand that willful dishonestly may result in the refusal of this application, the termination of my employment, and/or the refusal of future employment reference requests.

Date:

Summer Student Application Form

Contact Information

References

Additional Information

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