Devil's Coulee Dinosaur & Heritage Museum
P.O. Box 156
Warner AB T0K 2L0
Phone: 403-642-2118 Fax: 403-642-3660
dinoegg@telusplanet.net
www.devilscoulee.com
Personal Information
| 1. Last Name
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2. First Name and Initials
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| 3. Mailing Address
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4. Phone number you can be reached at
__________________________________________________ |
| 5. Do you have a valid Social Insurance Number __Yes __No |
6. Do you have at least a Class 5 driver's license? __Yes __No |
Job Information
| 13. Position you are Applying for
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14. Earliest date you could start work
__________________________________________________ |
| 15. Where did you hear about this position
__________________________________________________ |
16. Salary Desired (Competitive Salary Offered)
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Education and Training
17. Highest level of education achieved
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18. Field of Study __________________________________________________ |
| 19. Name of Last Educational Institution attended
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20. Address or Location
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| 21. Start date
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22. End date
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References (up to three)
| 23. Business and/or home address
__________________________________________________ __________________________________________________ |
Daytime and evening phone numbers
__________________________________________________ Relationship to you __________________________________________________ |
| 24. Business and/or home address
__________________________________________________ __________________________________________________ |
Daytime and evening phone numbers
__________________________________________________ Relationship to you __________________________________________________ |
| 25. Business and/or home address
__________________________________________________ __________________________________________________ |
Daytime and evening phone numbers
__________________________________________________ __________________________________________________ |
Work History; please include all employers in the last 3 years, including current employer
| 26. Name of employer
__________________________________________________ __________________________________________________ |
Phone Number
__________________________________________________ __________________________________________________ |
| Start dates
__________________________________________________ __________________________________________________ |
Your titles
__________________________________________________ __________________________________________________ |
| Business Contact information
__________________________________________________ |
Boss's name and titles
__________________________________________________ |
| 27. Name of employer
__________________________________________________ |
Phone Number
__________________________________________________ |
| Start dates
__________________________________________________ __________________________________________________ |
Your titles
__________________________________________________ __________________________________________________ |
| Business Contact information
__________________________________________________ |
Boss's names and title
__________________________________________________ |
| 28. Name of employer
__________________________________________________ __________________________________________________ |
Phone Number
__________________________________________________ __________________________________________________ |
| Start dates
__________________________________________________ __________________________________________________ |
Your titles
__________________________________________________ __________________________________________________ |
| Business Contact information
__________________________________________________ |
Boss's names and titles
__________________________________________________ |