Southland Trailer Corp.
Employment Application

Date: ______________________

Name: _________________________________________ Telephone: ___________________

Address: _______________________________________ Postal Code: _______ _______

Valid Drivers License (Yes) (No) Class _______________________________

Current First Aid Certificate (Yes) (No) Expires: ________ WHMIS Certificate: ______________

What position are you applying for?

(Labour)     (Welder)     (Forklift)     (Machine Operator)     (Brake/Shear)     (Other)

If other, please specify: _________________________________________________________

What machines, equipment have you been trained to operate? ____________________________

Are you bondable? (No) (Yes)

Interests, hobbies, sports? _________________________________________________________

How did you find out about us? ______________________________________________

In the interest of minimizing potential hazard to yourself or others, are you capable of lifting 75 lbs several times a day? (Yes) (No) Explain no answer ______________________________________

Education

High school - grade and year completed _______________________________________________

College / Trade tickets / Certificates __________________________________________________

Previous Work Experience (last job first)

Signature ___________________________________

Mail to: Southland Trailer Corp. 1405-41 St. N. Lethbridge, AB T1H 6G3
Fax: 1-403-327-8256