DATE

APPLICATION FOR EMPLOYMENT


The B.C. Human Rights Code prohibits discrimination against a person with respect to employment or any term or condition of employment, because of race, colour, ancestry, place of origin, religion, marital status, family status, physical or mental disability, sex, sexual orientation or age of that person or because that person has been convicted of a criminal or summary conviction offense that is unrelated to the employment or the intended employment of the person.


PERSONAL INFORMATION


LORDCO

would like to thank you for your interest in applying for a position with us.
We base employment opportunities on merit only and no other considerations.


Do you want to work:

Full Time

Part Time

Are there any other experiences, skills or qualifications
which you feel would especially fit the job you are applying for?

If hired, do you have reliable means of transportation to
get to work?       Yes       No

If applying for a driving job, do you have a valid
Driver's License?       Yes       No

Are you bondable? Yes    No

Hobbies and Interests:

Job Expectations:

Goals:

List qualities that you think employers look for in their employees:



LORDCO PARTS LTD.



22866 Dewdney Trunk Road, Maple Ridge, B.C. V2X 3K6 • Ph: (604) 467-1581 • Fax: (604) 463-7557 • www.lordco.com



LORDCO PARTS LTD.

EMPLOYMENT APPLICATION


APPLICATION FOR EMPLOYMENT


EDUCATION


Graduated:

Yes

No

Describe Course of Study:

Describe Course of Study:

Describe Course of Study:

Describe Course of Study:

1

WORK HISTORY


Starting with present or latest employer


Duties:


2

Duties:


3

Duties:

Yes

No

• Please indicate which ones you do not wish us to contact



LORDCO PARTS LTD.

EMPLOYMENT APPLICATION


APPLICATION FOR EMPLOYMENT

1


PERSONAL REFERENCES


If available


2

3

1


WORK REFERENCES


If available


2

3



APPLICANT'S CERTIFICATION AND AGREEMENT


PLEASE READ FULLY AND COMPLETELY BEFORE SIGNING

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I understand that if I am hired by Lordco Parts Ltd., falsified statements made on this application shall constitute sufficient cause for immediate dismissal.


SIGNATURE OF APPLICANT:

DATE: