Employment Application Form

Please answer all required fields. Effective for a 6 month period from date of filing.

Residence Addresses

Date of Residence

Previous Date of Residence

Next Previous Date of Residence

Health
Position
Education
Voluntary Work Experience
Business History

Please complete for your 3 most recent jobs

Job 1
Job 2
Job 3
References

List references, preferably former employers and other business or professional persons whom we may contact.

Reference 1
Reference 2
Reference 3
Pre-Employment Statement

I certify that the foregoing statements are complete and correct to the best of my knowledge and belief. I authorize Sunset Services to obtain such further information from others as it is reasonably require. I acknowledge and agree that the falsification of any information on this application for employment form may result in my immediate discharge from employment without further notice.

PLEASE NOTE: By filling in your full name here it acts as a virtual signature.

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Your interest in employment with Sunset Services is appreciated.

Location

140 Sunset Lane,
Pugwash, Nova Scotia,
B0K 1L0

Contact Info

E-mail: General inquires
Phone: 902.243.2571
Fax: 902.243.3222

Proud Member

Health Association Nova Scotia