EmailMe Form - Active Ace Staffing Online Application Form.

Full Name: *
Please type your first name then your last name
Date of Birth: *
Gender: *
Male
Female
Upload your Photo ID: *
Please attach a drivers license, passport, Ontario photo card or Health Card.
Primary Phone Number: *
### - ### - ####
E-mail: *
Address: *

Street Address City State / Province / Region Postal / Zip Code
Main Intersection:
SIN & Expiration Date:
Upload your SIN:
Work Permit Number & Expiration Date:
Car Available? *
Yes
No
I can lift: *
10 lbs to 20 lbs
20 lbs to 40 lbs
40 lbs to 60 lbs
Shift Availability: *
Morning
Afternoon
Night
You can choose more than one option
Do you have safety shoes? *
Yes
No
Do you have safety glasses? *
Yes
No
Do you have a Health and Safety Certificate? *
Yes
No
Are you WHMIS trained? *
Yes
No
Do you have a resume? If yes, please attach below: *
Yes
No
Upload your resume:
Please check the skills in which you have experience: *
Manufacturing
Order Picker
Machine Operator
Assembly
Forklift
Shipping & Receiving
Production Line
Welding
Scanning
Office Work
Accounting
Computer Knowledge
You can choose more than one option
If you chose Forklift in the previous question, in which are you certified? Also, please attach your certificate.
CB
RR
DS
Other
You can choose more than one option
Upload your Forklift License:
Do you have any Health Problems/Allergies? *
Yes
No
If you checked "Yes" to the previous questions please elaborate below:
Have you ever been convicted of a CRIME? *
Yes
No
If you checked "Yes" in the previous question, please explain below:
Do you speak another language? *
Yes
No, just English
If you checked "Yes" in the previous question, please list the language below:
In Case of Emergency who should we call? *
Please leave name, relationship and phone number of the Emergency Contact.
How did you hear about our Agency? *
Walk In
Employee
Word of Mouth
Kijiji
Other
Hygene Policy: *
I have read and agree to the terms below
HYGENE POLICY:
∗ If you work at a food related company, your nails must be kept trimmed, clean and free of nail polish
∗ You are NOT allowed to wear jewellery (no rings, watches, piercing, earrings ect.) or any other accessories that
may affect your safety or safety of the product
∗ All hair must be completely covered at all times with a hairnet. Beards must be covered with a beard net.
∗ You must maintain a neat, groomed and clean appearance at all times and are expected to wash your hand often
and thoroughly
∗ You must report all illness to your supervisor
Terms and Policy *
I have read and agree to the terms below
PLEASE READ CAREFULLY:
∗ I am responsible for reporting all absences to the agency and to the company supervisor
∗ I am responsible for informing the agency when I do not pick up my payment
∗ I am responsible for signing IN upon arriving at work and signing OUT when leaving work. This agency is not responsible for missing hours resulting from failure to SIGN IN & OUT. I will sign my full,official name.
∗ I will not walk off the job. if I do, it will result in reduction or loss of pay.
∗ If I am sick or late for work, I must notify the agency immediately or I may lose my current position.
∗ I understand that all assignments that are offered to me are temporary employment unless otherwise stated
∗ I will obey all Health and Safety regulation and rules at all assignments offered to me
∗ I will wear safety shoes and safety glasses
∗ I will use all safety equipment that is available and required of me to preform my assignment
∗ I understand that I have the right to refuse any assignment which I may believe to be unsafe due to the work environment or equipment, if so I will notify the assignment supervisor and agency immediately
∗ I will not use my cell phone during work hours

I certify that all information provided by me in the above employment application is true and complete to the best of my knowledge. I understand that if employed, false statement on this application shall be sufficient cause for
dismissal. By "signing" this application, I authorize this agency to use the information provided by me to perform reference check, background check, etc, to obtain employment.

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