Employment Application Form
(This form is to accompany a resume and cover letter.)
The University of Toronto is strongly committed to diversity within its community and especially welcomes applications from visible minority group members,
women, Aboriginal persons, persons with disabilities, members of sexual minority groups, and others who may contribute to the further diversification of ideas.
PERSONAL INFORMATION
Name : _______________________________________________
Email address: _______________________________________
(Given name first, family name second)
Phone number
Home: ______________________________
Business: ___________________________________________
Name (Given name first, family name second)
GENERAL INFORMATION
Position Applied for:
Position Title:
___________________________________
Department: _________________________________________
Job Opportunity No.: ________________________________
Are you age 18 or older?
Yes
No
Are you legally entitled to work in Canada?
Yes
No
(If the University makes a conditional offer of employment, you may be asked to provide proof of your legal entitlement to work in Canada.)
Employment at the University of Toronto:
Current Employee:
Yes
No
Previously employed:
Yes
No
If currently or previously employed by the University of Toronto (including UTEMP), you must complete the following:
Department: ____________________________________
Personnel No. (if known): ___________________
Reason Left: ______________________________
Date Left: _______________________________
If not currently employed by the University of Toronto, please complete the following:
Have you ever been convicted of a criminal offence for which a pardon has not been granted? Yes
No
What date are you available to start work? _________________________________
WORK-RELATED REFERENCES
Please provide three employment related references, including your current supervisor. In addition to the references provided by the
applicant, the University reserves the right to contact others who it deems relevant and appropriate in the assessment of this application.
Name and Title
Employment Relationship
Company and Phone Number
1. ____________________________________
_________________________________
___________________________
2. ____________________________________
_________________________________
___________________________
3. ____________________________________
_________________________________
___________________________
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 me from employment and/or will
constitute grounds for dismissal. If employed, I agree to undergo medical examinations that may be required, which are relevant to the position for which I
have applied, including medical examinations that may be required in accordance with University benefit plan requirements.
Date: ___________________________________
Signature: _________________________________________________
Print Name: _________________________________________________
Last modified June 2015
Human Resources & Equity