Accounting Department Application Form Page 2

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Page 1 - ACCOUNTING DEPARTMENT APPLICATION FORM
Please indicate which status you are applying for:
PERMITTEE STATUS
SECOND CATEGORY STATUS
SISTER LOCAL STATUS
______________
Current Departments:
Letter of Good Standing
Membership Card (front & back)
Local # _____________
Please indicate which positions you are applying to in the Accounting Department:
Assistant Accountant
Accounting Clerk 1
Accounting Clerk 2
Accounting Trainee
Please complete the following details - PLEASE PRINT CLEARLY!
Name:
FIRST
MIDDLE
LAST
Address:
STREET
CITY
PROVINCE/POSTAL CODE
Providing birthdate and gender information is optional. This is asked for demographics only and will not be used to determine eligibility.
Gender:
Birthdate:
day
month
year
Home Phone:
Mobile Phone:
E-Mail Address:
Website:
Emergency contact: Name
Phone:
Last 4 digits of Social Insurance # or a copy of Visa/Landed Immigrant Status:
Would you like to receive a response via e-mail
or regular mail
(please mark one box).
AGREEMENT TO ABIDE BY THE IATSE LOCAL 891 HIRING POLICIES & PROCEDURES: I acknowledge that I have had an
opportunity to read the IATSE Local 891 Hiring Policies and Procedures (attached). I hereby agree to abide by these Policies and
Procedures in the manner specified and will not accept work within the jurisdiction of IATSE Local 891 without first gaining the Union’s
authorization by a valid permit and/or record of Union dispatch. I understand that Hiring Policies and Procedures are subject to change
at the discretion of the Union, but any such changes do not diminish my responsibility to abide by these rules. I understand that if
permitted to work I am required to provide Canadian and provincial residency information sufficient to ensure that the production
company is eligible to receive the federal and provincial incentives including tax credits.
BARGAINING AUTHORIZATION: In applying for a membership, I understand that the Union intends to apply to be certified as my
exclusive bargaining agent and to represent me in collective bargaining.
CONSENT TO THE COLLECTION, USE AND DISCLOSURE OF PERSONAL INFORMATION: I acknowledge that I have had an
opportunity to read the Personal Information Protection Code and Personal Information Protection Chart (available at
com and in hard copy upon request). I hereby give my consent to the collection, use and disclosure of my personal information in the
manner and for the purpose outlined therein. I certify that all information stated and provided with this application is true and
complete to the best of my knowledge. I authorize IATSE Local 891 to verify this information provided in this application.
DATED: ______________________ SIGNATURE: _______________________________________
Revised Oct. 2015

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