• Applicant Registration Form

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Sex (check box)*
  • Do you hold a valid drivers license?
  • Do you own a car?
  • What is your Residential Status for Tax Purposes?*
  • If you hold a Visa - what is your expiration date?
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you presently under contract/employed?*
  • Have you ever been the subject of an investigation or complaint and/or disciplined for ANY misconduct by a past orpresent employer?*
  • Have you ever had any license or certificate of any kind (professional or trade certificate/license) revoked,suspended, or reprimanded?*
  • Have you declared bankruptcy in the last 7 years?*
  • Are you presently charged with, but not committed a crime or offense?*
  • Have you ever been convicted of a crime?*
  • Pre-Existing Injury or Disease Disclosure*
  •  -

  • Applicant Disclaimer - Signature Reference Checking Declaration

     

    1. I consent to reference checking with any previous employer, and give authorization to provide any relevantinformation to prospective employers.

    2. I hereby agree that I will not under any circumstance seek or accept a direct offer of temporary or permanentemployment from any of CRISDALE RECRUITMENT GROUP & BLUE STAMPEDE LABOUR HIRE clients,without first discussing the offer with a recruitment consultant of Crisdale Recruitment Group and BlueStampede Labour Hire. In doing so, will result in Crisdale Recruitment Group and Blue Stampede Labour Hiretaking Legal action

    3. I certify that my answers are true and complete to the best of my knowledge

    4. If this application leads to employment, I understand that false or misleading information in my application orinterview may result in my release

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