PRESTIGE EQUIPE STAFFING AGENCY
CANDIDATE REGISTRATION FORM
(365) 306-1771
info@hireprestige.ca
hireprestige.ca
1 Steinway Blvd, Unit 10, Etobicoke ON M9W 6J8
✓ Licensed Temporary Help Agency & Recruiter — Ontario Employment Standards Act | Licence Valid: June 20, 2026-June 19, 2028 | No fees charged to candidates — ever.
Please complete all sections of this form accurately and in full. Fields marked with * are required. This form is kept strictly confidential and used only for employment placement purposes.
SECTION 1 OF 6
Personal Information
Provide your full legal name and contact details.
Name
*
First Name
Last Name
DATE OF BIRTH
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
PHONE NUMBER
*
Format: (000) 000-0000.
EMAIL ADDRESS
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EMERGENCY CONTACT
EMERGENCY CONTACT NAME
*
PHONE
*
Format: (000) 000-0000.
RELATIONSHIP
SECTION 2 OF 6
Work Eligibility
Required under Ontario law before any placement.
ARE YOU LEGALLY ELIGIBLE TO WORK IN CANADA?
*
Yes - Canadian Citizen or Permanent Resident
Yes - I hold a valid Work Permit
IF WORK PERMIT - COMPLETE BELOW:
WORK PERMIT TYPE
WORK PERMIT EXPIRY DATE
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
SIN — TO BE PROVIDED UPON PLACEMENT
RELIABLE TRANSPORTATION
*
Required for payroll only. Never shared before placement.
TRANSPORTATION
*
Yes - Personal vehicle
Yes - Both
Yes - Public transit
No - Need work near transit
DRIVER'S LICENCE CLASS
No licence
G - Passenger Vehicle
G2
DZ - Straight Truck
AZ - Tractor Trailer
Other
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Employment Preferences
Tell us what kind of work you are looking for.
EMPLOYMENT TYPE SOUGHT *
*
Temporary / Contract
Permanent
Both - open to either
PREFERRED HOURS *
*
Full Time (40 hrs/week)
Part Time
Flexible - any hours
On-Call / As Needed
INDUSTRIES YOU WANT TO WORK IN * (select all that apply)
*
Healthcare
Construction
Manufacturing
Logistics / Driving
Hospitality
Cleaning
SHIFT PREFERENCES (select all that apply)
Day Shift (6am-2pm)
Evening (2pm-10pm)
Night (10pm-6am)
Weekends
AVAILABLE START DATE *
*
DESIRED PAY RATE
PREFERRED WORK AREA / CITY *
*
Qualifications & Certifications
HIGHEST EDUCATION LEVEL *
*
YEARS OF WORK EXPERIENCE *
*
HEALTHCARE CERTIFICATIONS
Healthcare Certifications
PSW Certificate
Registered Nurse (RN)
Registered Practical Nurse (RPN)
CPR / First Aid
CNO Registration
Dementia Care Training
TRADES & CONSTRUCTION CERTIFICATIONS
Trades & Construction Certifications
Working at Heights
WHMIS
Licensed Electrician (309A/442A)
Certified Welder
Forklift Licence
Scaffold Training
OTHER
OTHER CERTIFICATIONS OR LICENCES
e.g. Smart Serve, Food Handler, Class AZ Air Brake, OHSA...
KEY SKILLS *
*
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LANGUAGES SPOKEN
BACKGROUND CHECK STATUS
SECTION 5 OF 6
Work History
Provide details of your most recent or most relevant employer.
COMPANY NAME
YOUR JOB TITLE
START DATE
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
END DATE
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
REASON FOR LEAVING
Leave blank if currently employed
KEY DUTIES & RESPONSIBILITIES
MAY WE CONTACT THIS EMPLOYER AS A REFERENCE?
Yes - they may be contacted
Yes - please ask me first
No
HOW DID YOU HEAR ABOUT PRESTIGE EQUIPE?
SECTION 6 OF 6
Consent & Declaration
Please read each statement carefully, check the box, and sign.
1. No Fees Declaration (Ontario ESA Required)
Under the Ontario Employment Standards Act, 2000, Prestige Equipe Staffing Agency is prohibited from charging any fees to candidates at any time — including for registration, placement, or job searching.
*
I confirm that no fees have been or will ever be charged to me by Prestige Equipe Staffing Agency.
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
2. Background Check Consent
As part of our placement process, Prestige Equipe may arrange a criminal background check and reference checks. This is kept strictly confidential and used only to assess suitability for specific roles.
*
I consent to Prestige Equipe conducting criminal background checks and reference checks as part of the placement process.
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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3. Privacy & Personal Information Consent (PIPEDA)
Your personal information will be collected, used, and stored by Prestige Equipe Staffing Agency solely for the purpose of finding you employment in Ontario. It will not be sold or shared beyond potential employers on a need-to-know basis. You may request access, correction, or deletion of your information at any time by contacting info@hireprestige.ca.
*
I consent to the collection, use, and storage of my personal information by Prestige Equipe Staffing Agency for employment placement purposes in accordance with PIPEDA. *
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
4. Truth & Accuracy Declaration
By signing below you declare that all information provided in this form is true, accurate, and complete. Providing false or misleading information may result in immediate removal from the talent pool and termination of any placement.
*
I declare that all information provided in this registration form is true, accurate, and complete. *
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
FULL LEGAL NAME (Digital / Printed Signature)
*
SIGNATURE
*
DATE
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Thank you for registering with Prestige Equipe Staffing Agency. A member of our team will contact you within 1-2 business days. For urgent inquiries call (365) 306-1771 or email info@hireprestige.ca. Please submit this completed form by email, in person, or via hireprestige.ca/candidate-registration.html
Prestige Equipe Staffing Agency | 1 Steinway Blvd, Unit 10, Etobicoke, Ontario M9W 6J8 | (365) 306-1771 | info@hireprestige.ca | hireprestige.ca | Licensed Temporary Help Agency & Recruiter – Ontario ESA | Licence Valid: June 20, 2026 – June 19, 2028
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