Application Form | West-Can Human Resources Solutions

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:

I am proficient with the following computer software/equipment:

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

Application Form for Job Seekers