Heavy Equipment Operator Application Form
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3Human Resources
HR-1008
HEAVY EQUIPMENT OPERATOR APPLICATION FORM
PLEASE PRINT
SECTION 1
PERSONAL INFORMATION
Last Name _____________________________________ First Name ___________________________________ Middle Initial ______________
Address
______________________________________________________________________________________________________
City/Town
_____________________________________________________ Postal Code ____________________________________
Telephone
(home) ____________________ (cell) ____________________
E-mail
_______________________________________
1.
Are you legally eligible to work in Canada?
Yes
No
2.
Have you ever worked for the City of St. John’s?
Yes
No
If yes, when ____________________
3.
Have you ever been interviewed by the City of St. John’s?
Yes
No
If yes, when ____________________
4.
Have you completed the City’s Equipment Operator Assessment process? Yes
No
If yes, when ____________________
SECTION 2
QUALIFICATIONS (attach a current resume and all required documentation)
Check the boxes below to ensure you meet the requirements for these positions. A copy of all certificates is mandatory. Applications without the
required documentation attached will not be processed.
Heavy Equipment Journeyperson Certification
Certification # ____________________ Specify Equipment ______________________
High School Graduate or equivalent
School Name ___________________________ Graduation Date _________________
Class 03 Newfoundland and Labrador Driver License
Class 03 Newfoundland and Labrador Driver License with 08 traction engine endorsement
Other license classes or endorsements Name(s) __________________________________________________________________________
Current Driver’s Abstract
Power Lines Hazard Certificate
Expiry Date ____________________
First Aid Certification
Expiry Date ____________________
Traffic Control Certificate
Expiry Date ____________________
SECTION 3
EDUCATION
Name of Program
Length and Dates of Program
Certificate, Diploma, License Obtained
Institution
College/University
Technical/Vocational
High School
Other
Updated (2013-08-26)
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