Fusion Glassworks Inc.

Application for Employment

Personal

Name
Address
Telephone #
Email
Position Applied For.
Rate of pay expected $
How did you learn of this opening

Do you want to work:	Fulltime Part-time
Days and hrs if part-time

Work Relations

Please full out the boxes with a Yes or No
Have you worked with Stained Glass of in the glass industry before?
If hired, on what date will you be available to start work?
If hired, would you be willing to work the occasional week-end?
If hired, do you have a reliable means of transportation to get to work?
Do you hold a current and valid drivers license?
If so what class?
Do you have any points against this license?
Have you been convicted of a criminal offence?
Would you be willing to submit to a police check?
Have you ever worked on a computer before?
Do you feel you have an artistic ability?
Why do you want to work at Fusion Glassworks?

Health

Have you been treated for any back problems?
Have you been treated for any circulation problems?
Are you taking any medications?
How do you rate your health and Fitness?
Have you any physical or mental disabilities?
If so, Please list?

Do you smoke?
Have you been treated for drug or alcohol abuse?

Education

What level of education did you complete?
Describe any specialized training, apprenticeship skills that you have?

Describe any honors you have received?

Resume

If any of the information requested below is in your resume, please do not duplicate it.

Please email your resume or copy it in to this comment Box.

Email your resume to info@fusionglass.com

Previous employment

Name of previous employer?

Address of previous employer?

Position held?
How long did you hold that position?
Can we contact this person?

Name of previous employer?

Address of previous employer?

Position held?
How long did you hold that position?
Can we contact this person?

Name of previous employer?

Address of previous employer?

Position held?
How long did you hold that position?
Can we contact this person?

Is all the information on this resume Correct?

Please check it over before submitting it.