Fillable Heavy Equipment Operator Application Form (Page 3 of 3) in pdf

HR-1008 - Heavy Equipment Operator Application Form

Human Resources

SECTION 5

EMPLOYMENT EXPERIENCE (continued…)

Position Title

__________________________________________________________________________________________________

Start Date

____________________________

End Date ____________________________

General Duties/Responsibilities _______________________________________________________________________________________

_________________________________________________________________________________________________________________

Reason for Leaving (must be completed) ________________________________________________________________________________

Name of Employer __________________________________________________________________________________________________

Employer Address __________________________________________________________________________________________________

Supervisor’s Name _______________________________________________________ Telephone No. _____________________________

May we contact the supervisor for a reference

 Yes  No

SECTION 6

RELATED SKILLS – (all fields marked with an asterisk (*) are mandatory)

EXPLANATION OF SKILLS

SKILL

Describe the nature of the skill and provide specific examples (i.e.

number of years operating, certifications, training, trade license, etc.)

* Loader Operating Experience

(Describe Experience)

* Tandem Operating Experience

(Describe Experience)

Computer Knowledge

Mechanical Experience

(Describe Experience)

Other Related Experience

SECTION 7

PLEASE READ CAREFULLY BEFORE SIGNING

Have you ever been convicted of a criminal offence for which a pardon has not been granted?

 Yes

 No

I certify that 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 this application

for employment and if I am employed by the City of St. John’s, it shall be considered sufficient cause for dismissal.

I authorize the verification of any or all information listed above.

Applicant Signature ________________________________________________ Date (yyyy-mm-dd) ________________________________

Please send completed form, resume and all other required documentation to the Employee Relations Division by either of the following methods:

In person:

Department of Human Resources, Second Floor, City Hall Annex

Mail:

P.O Box 908, St. John’s, NL A1C 5M2

E-mail:

hr@stjohns.ca

Updated (2013-08-26)

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