<p> ALBERTA ASPHALT ENTERPRISES INC. 6450 – 27 STREET N.W. EDMONTON, AB T6P 1M6 PHONE: (780) 469-9999 FAX: (780) 466-3952 Email: [email protected]</p><p>EMPLOYMENT APPLICATION APPLICANT INFORMATION</p><p>DATE: FULL NAME: LAST FIRST M.I.</p><p>ADDRESS: STREET ADDRESS APARTMENT/UNIT #</p><p>CITY PROVINCE POSTAL CODE PHONE: ( ) EMAIL ADDRESS:</p><p>DATE AVAILABLE: S.I.N. DESIRED RATE $</p><p>POSITION APPLIED FOR: YES NO ARE YOU A CANADIAN CITIZEN □ □ ARE YOU LEGALLY ABLE TO WORK IN CANADA □ □ HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE □ □ IF YES, EXPLAIN EDUCATION HIGH SCHOOL: ADDRESS: YES NO FROM: TO DID YOU GRADUATE □ □</p><p>COLLEGE: ADDRESS: YES NO FROM: TO: DID YOU GRADUATE □ □</p><p>TRADE SCHOOL: ADDRESS: YES NO FROM: TO: DID YOU GRADUATE □ □ ALBERTA ASPHALT ENTERPRISES INC. 6450 – 27 STREET N.W. EDMONTON, AB T6P 1M6 PHONE: (780) 469-9999 FAX: (780) 466-3952 Email: [email protected]</p><p>REFERENCES PLEASE LIST THREE (3) REFERENCES (TWO MUST BE WORK)</p><p>FULL NAME: TITLE: COMPANY: PHONE: ADDRESS:</p><p>FULL NAME: TITLE: COMPANY: PHONE: ADDRESS:</p><p>FULL NAME: TITLE: COMPANY: PHONE: ADDRESS:</p><p>PREVIOUS EMPLOYMENT COMPANY: PHONE: ADDRESS: SUPERVISOR: JOB TITLE: STARTING $ ENDING $ SALARY SALARY FROM: TO: REASON FOR LEAVING: YES NO MAY WE CONTACT YOUR PREVIOUS EMPLOYER FOR A □ □ REFERENCE</p><p>COMPANY: PHONE: ADDRESS: SUPERVISOR: JOB TITLE: STARTING $ ENDING $ SALARY SALARY FROM: TO: REASON FOR LEAVING: YES NO MAY WE CONTACT YOUR PREVIOUS EMPLOYER FOR A □ □ REFERENCE</p><p>COMPANY: PHONE: ADDRESS: SUPERVISOR: JOB TITLE: STARTING $ ENDING $ SALARY SALARY FROM: TO: REASON FOR LEAVING: YES NO MAY WE CONTACT YOUR PREVIOUS EMPLOYER FOR A □ □ REFERENCE ALBERTA ASPHALT ENTERPRISES INC. 6450 – 27 STREET N.W. EDMONTON, AB T6P 1M6 PHONE: (780) 469-9999 FAX: (780) 466-3952 Email: [email protected]</p><p>DISCLAIMER AND SIGNATURE</p><p>I CERTIFY THAT MY ANSWERS ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.</p><p>IF THIS APPLICATION LEADS TO EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION IN MY APPLICATION OR INTERVIEW MAY RESULT IN MY RELEASE.</p><p>SIGNATURE OF APPLICANT: DATE:</p><p>AUTHORIZATION TO OBTAIN REPORTS</p><p>REPORTS SUCH AS MY DRIVING RECORD MAY BE NECESSARY TO EVALUATE MY APPLICATION FOR EMPLOYMENT.</p><p>BY SIGNING THIS AGREEMENT, I AUTHORIZE THE PROCUREMENT OF SUCH REPORTS AS NEEDED TO EVALUATE MY STATUS FOR EMPLOYMENT AND INSURABILITY.</p><p>SIGNATURE OF APPLICANT / EMPLOYEE</p><p>PRINT FULL NAME (CLEARLY</p><p>DRIVERS LICENSE #/PROVINCE EXPIRY DATE</p><p>PLEASE INCLUDE DRIVERS ABSTRACT WITH APPLICATION ALBERTA ASPHALT ENTERPRISES INC. 6450 – 27 STREET N.W. EDMONTON, AB T6P 1M6 PHONE: (780) 469-9999 FAX: (780) 466-3952 Email: [email protected]</p><p>ADDITIONAL INFORMATION</p><p>PLEASE USE THIS AREA TO INCLUDE ADDITIONAL INFORMATION ABOUT YOURSELF THAT WAS NOT COVERED IN PREVIOUS SECTIONS OF THIS APPLICATION THAT YOU FEEL WE, AS A POTENTIAL EMPLOYER, SHOULD KNOW ABOUT YOURSELF (EXAMPLE: CERTIFICATIONS; SKILLS; KNOWLEDGE; ETC.)</p><p>OFFICE USE AREA</p><p>INTERVIEW DATE: TIME: NAME/S FOR WHAT POSITION</p><p>ADDITIONAL INFORMATION REQUIRED:</p>