Canada West Coachlines Ltd.
"Going that extra mile. Safe. Reliable. Professional."
Open
Canada West Coachlines Ltd
Suite 101-929 Laval Cres
Kamloops
,
BC
V2C 5P4
Call:
(250) 374-7032
Email:
[javascript protected email address]
canadawestcoach.com
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Admin – Application Form
All information provided in this form, my resume and cover letter, and information presented during the interview process is truthful to the best of my knowledge. I understand that falsification of any of this information or omission of any pertinent information may disqualify me from employment and/or will constitute grounds for dismissal. If employed, I agree to undergo medical examinations that may be required, which are relevant to the position for which I have applied, including medical examinations that may be required in accordance with Employer benefit plan requirements or Federal or Provincial regulations.
PERSONAL INFORMATION
Full Name
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Phone Number (home)
*
Phone Number (cell / secondary)
Email Address
*
GENERAL INFORMATION
Position Applied for
*
In Department
*
BC Driver’s License Class
*
BC Driver’s License Air Brakes
*
Yes
No
Are you legally entitled to work in Canada?
*
Yes
No
Hourly Rate expectation
*
per hour
Are you willing to take a drug and/or alcohol test?
*
Yes
No
this is required if you wish to operate a motor-coach in the United States
Have you ever been convicted of a criminal offence for which a pardon has not been granted?
*
Yes
No
Do you have any physical disability which would affect your ability to perform any of the functions of the job for which you applied for?
*
Yes
No
Please explain
*
What date are you available to start work?
*
REFERENCES
Please provide three employment related references, whom we may contact, including your current supervisor
1. Name and Title Company
*
1. Employment Relationship
*
1. Phone Number
*
2. Name and Title Company
*
2. Employment Relationship
*
2. Phone Number
*
3. Name and Title Company
*
3. Employment Relationship
*
3. Phone Number
*
Name
This field is for validation purposes and should be left unchanged.
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