Application Form for Job Seekers Application Form First Name: * Last Name: * Home Phone: * Cell: * Email: * I am interested in the following fields of work: * I am currently employed: * Yes No I am interested in: * Full-Time Part-Time Temporary Only contact me regarding positions that pay a minimum of: * $ I am a: High School Grad College Grad University Grad OtherOther I possess the following education/training that is not listed on my resume: My typing speed is approximately: *Words Per Minute My driver's license is class: I have working knowledge in the following computer software/equipment: Excel Word Access SAP Quickbooks Publisher Dictaphone Multi-phone line systems OtherOther I am proficient with the following computer software/equipment: Excel Word Access SAP QuickBooks Publisher Dictaphone Multi-Phone line System OtherOther The information you are about to submit will be stored on West-Can Human Resource Solutions confidential server in order to allow West-Can staff to inform you of job opportunities in an efficient manner. Personal information will not be used or disclosed for any other purposes. By submitting this form, I authorize the verification of this information and information on my attached resume and any other necessary inquiries that may be needed to determine my suitability for employment. * I agree I Agree to accept information and updates via email from WCHRS. I can withdraw my consent at any time. I agree reCAPTCHA Submit If you are human, leave this field blank.