Application for Employment
Human Resources
1200 Scarth Street Regina, SK S4R 2E5
Phone: (306)757-6549  Fax (306)352-5140
www.ileselectric.com	

INSTRUCTIONS: Please complete in full. Ensure that you have read, signed, and dated the declaration for employment on the last page.	

Position Applying For:	        	
          		Note:  Complete one application form per position	

Personal Data	
	Name:	 				
		Last	First	Middle                                           Job Posting #
	Mailing
	Address	 				
		No.	Street	City	Postal Code
	Address:	 	
		(If different from above)
	Email
	Address:	 	
	Telephone
	Home:   	 Business:  	Cell:  
	Are you legally entitled to work in Canada?	Yes	☐	No	☐
	As an adult, have you ever been convicted of an offence other than a traffic violation?	Yes	☐	No	☐
	Are you able to work shifts (non-standard hours) if required?	Yes	☐	No	☐
	Do you have any relatives working at Iles Electric Ltd.?		Yes	☐	No	☐
	If yes, state name(s):	 	
	Have you been employed previously by Iles Electric Ltd.?		Yes   ☐	No	☐
	If yes, indicate:	 	
	Dates of Employment:	 	Position:  

EDUCATION AND TRAINING           *See Resume will not be accepted *	
	Name & Location of Institution	Number of Years Completed	Field of Study	Grade/Diploma/Degree and Year Completed	
High School/GED					
Commercial, Trade or Technical Training					
Undergraduate College/University					
Graduate/ Professional					
Other 
Continuing Education					
Trade time hours, if applicable:	

SPECIALIZED SKILLS	
A.	Secretarial/Clerical Skills:
	☐	Word Processing	☐	Spreadsheet	☐	Database	☐	Keyboarding	☐	Other	
Software: 					WPM: 		
	☐	Data Entry	☐	Graphics	☐	Web Design	☐	Special Terminology	
	
B.	Computer  Skills:
Please specify computer systems you have worked with, courses you have taken your working knowledge of computer software:
		
C.	Technical Skills:

D.	Trades/Maintenance Skills:

E.	Safety Training: current & valid

F.	Language Skills:	Spoken:		Written:	
	
G.	If you are applying for a position requiring a driver's license, please complete the following:
	Do you have a valid driver's license?	Yes	☐	No	☐	Class:		Province:	
	Are you willing to obtain your air break and trailering endorsements within 6 months of hire?	Yes	☐	No	☐	

PREVIOUS EMPLOYMENT (Begin with most recent) 
  *See Resume will not be accepted - Please fill out all areas for each position*	
Name of Employer: 	Address: 	
Last Position Held: 	Phone: 	
Name of Supervisor: 	Reason for Leaving: 	
Period Employed: 	Final Salary: 	
Duties: 	

Name of Employer: 	Address: 	
Last Position Held: 	Phone: 	
Name of Supervisor: 	Reason for Leaving: 	
Period Employed: 	Final Salary: 	
Duties: 	

Name of Employer: 	Address: 	
Last Position Held: 	Phone: 	
Name of Supervisor: 	Reason for Leaving: 	
Period Employed: 	Final Salary: 	
Duties: 	

REFERENCES	
List three persons, other than relatives or personal friends, who can judge your work ability.
	NAME	COMPANY	POSITION	TELEPHONE
1.	 		   	
2. 	 		   
3. 	 		   
May we contact your present employer for a reference?	Yes	☐	No	☐	Previous Employer?	Yes	☐	No	☐
If no, please state reason(s):

  																		

SECURITY CLEARANCE CONSENT:   This is mandatory 	
Employees of Iles Electric Ltd. performs work in highly sensitive areas. Before being perused, applicants must first be processed through a security clearance check.

Do you consent to Iles Electric Ltd performing a criminal record/security clearance check?	Yes    ☐ 	      No   ☐

If yes, please include:

Full Name:  	  
			First				Middle				Last

Previously Used Name(s):  

Date of Birth:       
		Month		Day	              Year	

		      Date/Year					                  Signature of Applicant

Please use the next page to enlarge upon relevant information, skills, education, training, previous employment, special achievements, job interests, volunteer work, hobbies, or any additional information that you feel should be added to this application.

For greater consideration, please attach copies of:
•	high school transcript, 
•	trades marks, 
•	valid driver's license, 
•	valid safety training certificates, and 
•	a driver's abstract. (http://www.sgi.sk.ca/individuals/licensing/driverabstract.html)
•	resume	

ADDITIONAL INFORMATION (E.G. SKILLS, JOB INTERESTS, ACHIEVEMENTS, ETC.) 	

	

	

	

DECLARATION FOR EMPLOYMENT:	
Note: Trades workers at Iles Electric Ltd. must have the ability to distinguish colours. normal colour vision is needed because workers must frequently identify electrical wire by colour. Being an essential and critical health and safety requirement, good colour vision is a condition of employment for pre-apprentice, apprentice, and journeyman positions. (Administrative positions exempt)
I consent to a pre-employment vision/colour vision test			☐
I DO NOT consent to a pre-employment vision/colour vision test		☐
I am applying for an administrative position				☐
It is understood and agreed that Iles Electric Ltd. may at any time seek verification of the above and further information in considering my suitability for any position, or benefits, at Iles Electric Ltd., I hereby request and authorize anyone approached by Iles Electric Ltd., its employees and agents, to provide them with any and all information requested to the best of their ability. I hereby release Iles Electric Ltd., its employees and agents, and anyone providing information pursuant to a request from the Iles Electric Ltd. to provide information about me, from any and all claims whatsoever which may arise as a result of the release of such information. I understand and agree that any omission, false or misleading statement may disqualify me from employment, or result in dismissal. A photographic copy of this authorization shall be as valid as the original.

	      Date/Year							Signature of Applicant
Thank you for taking the time to complete this application and for your interest in Iles Electric Ltd.
Applications will be kept on file for 6 months.	

Iles Electric Ltd. is committed to the principles of Employment Equity and welcomes applicants from all qualified candidates.