MARITIME TEMP SERVICES INC.

331 Elmwood Drive, Suite 4-804
Moncton, N.B.
E1A 7W1


Application form Download PDF Files


Other form available

Time Card Form (Download PDF files)








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Name:
Street Address:
City:
Province:
Postal Code:
Phone Number (1):
(2)
Social Insurance No:
Date of Birth:



GENERAL INFORMATION

Driver's License Number:

Physical Limitations/Health Problems:

Have you ever received compensation for any injuries?
Yes No
If so, please specify date and type of injury


Do you have any First Aid training?
Yes No
Specify:

List any other courses, licenses or special qualifications:


Will you work:
Day Shift Afternoon Night Shift Weekends

Are you limited to any specific hours? or days? Specify:

Maximum you can lift:

Do you have safety footwear? Yes No

PAYROLL INFORMATION

Method of payment: Cheque Direct Deposit
(Please provide voided cheque)
Federal tax deducted as single unless otherwise specified.
Pay periods bi-weekly starting


First Day Worked

Last Day Worked

Pay Rate (Includes 4% vacation py unless otherwise stated)

The position can be terminated or extended by the Employer at any time.








 
 
 
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