Last Name *

First Name *

I consent to the collection of my personal information, as requested by ASP Employment Services and understand that this information will only be used for the purpose of assisting me in finding suitable employment.

I further consent to the disclosure of such personal information to:

• ASP’ clients when, in ASP' exclusive discretion, the client may have suitable employment; and
• To the extent necessary, ASP' representatives (including partners and or contractors) who assist ASP in providing me with full staffing services.

I fully understand the above consent statements and am entering into them voluntarily, as certified by my signature below

According to Employment Standards Act (ESA), an employee cannot work more than 48 hours in a week unless they agree, in writing to do so.

• By answering “YES” below, you are able to work in excess of 48 hours per week (and up to 60 hours per week) when given the opportunity by a client.
• • By answering “NO” below, you may put restrictions on the ability of ASP to place you in certain contracts, given that some assignments offer excess hours to our employees on a regular basis. For this reason, clients who are able to offer excess hours to ASP employees may only accept workers who are available for excess hours.

This agreement will be in effect from the date of singing until the date you cease working for ASP Employment Services. You have the ability to cancel this agreement at any time provided that you do so with two weeks’ notice, in writing.

Last Name *

First Name *

Date of Birth *

Address *

City *

Province *

Postal Code *

Home Phone

Cell Phone *

Emergency Contact Name

Emergency Contact No.

SIN#

Drivers Licence No.

Health Card No.

Email *

Are you eligible to work in Canada? Yes No

Do you own or have access to a vehicle for commuting purposes? Yes No

Have you ever received Workers Compensation Benefits due to an injury within a workplace? Yes No

For bonding purposes, have you ever been convicted of a criminal offence, which has not yet been pardoned? Yes No

Are you able to perform light handbomb? Yes No NA

Select availability Select One Mornings Afternoons Nights Anytime

Job Type: * Select One AZ Driver DZ Driver G Driver Corporate / Administrative General Labor

Years of Experience: * Select One New 1-5/months 5/months - 1/year 1-3/years 3/years +

Company Name

Phone

Address

From

To

Supervisor

Reason For Leaving

May we contact your previous supervisor for a reference? Yes No

Company Name

Phone

Address

From

To

Supervisor

Reason For Leaving

May we contact your previous supervisor for a reference? Yes No

Company Name

Phone

Address

From

To

Supervisor

Reason For Leaving

May we contact your previous supervisor for a reference? Yes No

Company Name

Phone

Address

From

To

Supervisor

Reason For Leaving

May we contact your previous supervisor for a reference? Yes No

Company Name

Phone

Address

From

To

Supervisor

Reason For Leaving

May we contact your previous supervisor for a reference? Yes No

Company Name

Phone

Address

From

To

Supervisor

Reason For Leaving

May we contact your previous supervisor for a reference? Yes No

I am an experienced driver and I worked within the past 14/days. If so, please indicate total number of hours for each day below:

Indicate total number of hours for each day worked below:

DAY 1	DAY 2	DAY 3	DAY 4	DAY 5	DAY 6	DAY 7
DAY 8	DAY 9	DAY 10	DAY 11	DAY 12	DAY 13	DAY 14

I am a new driver. No hours to report of.

NA

Please ensure all documents are clear and are uploaded in pdf format

Drivers Licence (Front) *

Drivers Licence (Back) *

Drivers Abstract *

CVOR *

Criminal Record Check *

Work Permit

Permanent Residence

I certify that answers are true and complete to my best knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature *

Date *