Nom: *


Nom de Famile:


Email: *


Adresse: *


Vile: *


Province:


Code Postal:


Desired Position:


Previous Employer:


From (Date: Month/Day/Year):


To (Date: Month/Day/Year):


Type of Work:


Reason for Leaving:


incompleted High School:


Completed High School:

Business or Trade School:

College:

Other Comments on Education:


Are you authorized to work in Canada?
-- Yes No

Are you at least 18 years of age?
-- Yes No

Have you ever been convicted of a crime (felony)?
-- Yes No

If yes, give details: (Convictions are not automatic bar to employment)


If you are experienced operator of any machines or equipment, please list:


Do you have any other skills you wish to mention?


Are you presently employed?
-- Yes No

If so, may we contact your present employer?
-- Yes No

If hired, when would you be available?


Employment Reference Name 1:


Employment Reference Telephone 1:


Employment Reference Name 2:


Employment Reference Telephone 2:


Gender:
-- Male Female

Prestige

Services d'entretien Prestige Inc.
5560 rue Chauveau
Montreal QC H1N 1G9

Tél.:(514) 257-7575

Téléc.: (514) 257-6393