Thank you for your interest in working for Teutech. Due to the high volume of applications we receive, only qualified applicants will be contacted for an interview.

If you are applying for an advertised position, please be sure to include that information.

Are you legally entitled to work in Canada?		Yes No
I am here on a Visa or Work Permit.
Have you ever been convicted of a criminal offence which has not been pardoned?		Yes No
If so, please explain the nature of the offence:

Was this an advertised position?		Yes No
If so, please indicate position title:
Where did you see the position advertised?

What type of work are you looking for?		Full Time Part-time Summer Temporary
Specify shift. (Our shifts do not rotate.):		Days Afternoons Nights Any Shift
How much notice do you need before starting?		None 1 Week 2 Weeks More:

Production Machinery

CNC Mill CNC Lathe Deburring/Grinding Hand Tools

Measuring Tools (Verniers, Calipers etc.) Press Assembly

Welding

Spot Welding Arc Aluminum CWB Certified Own Welding Helmet

Mig Tig Other:

Warehouse

Do you have a current, valid forklift certificate? Yes No

Work Environment

Are you able to do repetitive work? Yes No

Are you able to stand for long periods? Yes No

Are you capable of heavy lifting? Yes No

Have your employers been: QS9000 or ISO Automotive Neither

High School Diploma College Diploma/Certificate University Grad

Skilled Trade? Specify: Other? Please explain:

Have you worked for us before? Yes No

If yes, which plant?

Have you worked for a temporary staffing agency in the last 2 years? Yes No

If yes, which one and when? Year(s):

If you have ever received a disciplinary warning, what was if for?

How many days of work did you miss last year?

List below your 3 most recent employers:

1) Company name: Telephone:

Supervisor's name: Started: Ended:

Rate of pay: Position held or type of work you did:

Reason for leaving:

May we contact this employer? Yes No

2) Company name: Telephone:

Supervisor's name: Started: Ended:

Rate of pay: Position held or type of work you did:

Reason for leaving:

May we contact this employer? Yes No

3) Company name: Telephone:

Supervisor's name: Started: Ended:

Rate of pay: Position held or type of work you did:

Reason for leaving:

May we contact this employer? Yes No

Data collected in this form is required to determine suitability for employment with Teutech and will be used for employment purposes only. Submitting this form confirms that the information provided is accurate and true and that you authorize Teutech to use the data as required. It also authorizes your former employers (where you've indicated that they could be contacted) to release all employment information about you to Teutech.