Address: ____________________________________ Apt: ____ P.O. Box: ___________

Town/City: _____________________________________ Postal Code: ______________

Telephone: ______________________________Cellular: _________________________ 

E-mail: _____________________________________________
(Please circle or state option)
Do you have a Social Insurance Number?    Yes     No 
Education:
Completed Grade – 9 – 10 – 11 – 12 – Other ____________________________________
Present aveage mark in school at this time: _____________ Grade Level: _____________
Returning to School:   Yes     No 
Availability for work: 
Full-time   Part-time   Weekends   Summer   Other ______________________________
When are you availablility for a job interview: __________________________________
Start date or availablility: __________________________________________________
Any required holidays or time-off needed: _____________________________________
Past or present work experience: _____________________________________________
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Hobbies and/or activities: ___________________________________________________
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Why do you want to work at the Port Elgin Cinemas? _______________________________
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References: (please supply 2 references)
1. _____________________________________ Telephone: ______________
2. _____________________________________ Telephone: ______________
Used the back of this form if more space is needed.
This information in this application is correct and true to the best of my knowledge.
Signature: _________________________________ Date: (mm/dd/yy) _________________
Office Use only: ___________________________________________________________
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