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Job Seeker Registration Form
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PERSONAL INFORMATION
First Name
*
Last Name
*
Date of Birth
*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
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27
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31
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
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2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Gender
*
— Select —
Male
Female
Street Address
*
Major Intersection
*
and
City
*
Country
*
— Select —
Canada
USA
China
India
Russia
Ukraine
Kazakhstan
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Algeria
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Angola
Anguilla
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Armenia
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Bahamas The
Bahrain
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Bolivia
Bosnia and Herzegovina[
Botswana
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Burkina Faso
Burundi
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Cayman Islands
Central African Republic[
Chad
Chile
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Comoros
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Croatia
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Ethiopia
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Faroe Islands
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Finland
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French Polynesia
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Gambia, The
Georgia, Republic of
Germany
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Korea[, North
Korea[, South
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Macedonia[
Madagascar
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Mali
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Nicaragua
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Nigeria
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Poland
Portugal
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Qatar
Romania
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Somaliland
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Spain
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Syria
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Tristan da Cunha
Tunisia
Turkey
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United Arab Emirates
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Province
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Texas
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Washington
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any
Postal Code
*
(eg. L4K 1T6)
Primary Phone (Cell)
*
(eg. 222-222-2222)
Secondary Phone (Home)
(eg. 222-222-2222)
E-mail
Car
*
— Select —
Yes
No
English Level
*
— Select —
Poor
Basic
Good
Fluent
1st Language
WORK RELATED INFORMATION
Preferred Position
*
Preferred Industry
— Select —
any
Transportation
Warehousing
Distribution
Construction
Manufacturing
Automotive
Retail
Service
Healthcare
Information Technology
Food Production
other
Licences and Certificates
Job Type
Permanent
Temporary
Job Status
Full Time
Part Time
Job Shift
Day
Afternoon
Overnight
Weekends
Notes
Years of Experience
*
(eg. 3 years)
Upload Resume
(.doc only)
Are you authorized to
work in Canada?
*
— Select —
Yes
No
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