REGISTRATION FORM - FORMULAIRE D'INSCRIPTION

Date of Registration / Date D'Inscription: / /    EMAIL:
                                                                                m/m      d/j        y/a

GENERAL INFORMATION / RENSEIGNEMENTS GÉNÉRAUX

Name/Nom: ,
                                                         (surname/nom)                                                                                  (name/prénom)
Address/Adresse:
City/Ville: Province/Province: Postal Code/Code Postale:
Residence telephone number/Numbéro de téléphone: ( ) Cellular/Cellulaire:
Contact Person in case of emergency/Personne à contacter en cas d'urgence: Tel:
Optional/Optionelle: D.O.B/D.D.N: / /       S.I.N/N.A.S:
                                                                  m/m      d/j         y/a

LANGUAGES/LANGUES:	Spoken/Parlé	French/Français	English/Anglais	Other
	Written/Écrite	French/Français	English/Anglais	Other

How did you find out about us? / Comment avez vous appris de nous?:
POSITION DESIRED/POSTE DCSIRÉ: 1) 2)

AVAILABILITY/DISPONIBILITÉ:	Full time/Temps Plein	Flexible/Flexible	Overtime/Surtemps
Part Time/Temps-Partiel	Specify which day(s)/Specifiez quels jours:

Available Start Date/Date Disponible: Transporation/Transport: Car/Voiture    Bus/Autobus
Salary Expectations/Exigences Salariales: $ per hour/heure OR/OU $ per Diem/Per Dième
Previous Gov't Experience/Classification:

SECURITY CLEARANCE/COTE SÉCURITAIRE

Enhanced Reliability/Fiablité Approfondie

Security Level II/Secret Niveau II

Top Secret/Trés Secret

PWGSC File Number/Numéro de dossier TPSGC: With/Avec:

EDUCATION/SCOLARITÉ

Level/Niveau	Name of School/ nom de l'institution	Course of Study/ Course d'études	Last year completed/ Dernière année complétée	Degrees/Diplôme
High School/ Secondaire
College/ Université
Trade/Métier
Other/Autres

WORK HISTORY/EXPERIENCE DE TRAVAIL

1. Company name/nom de la compagnie:
   Address/Adresse:
   Position/Poste: Salary/Rénumération:
   Start Date/Date de début: End Date/Date Terminé:
   Reason for leaving:
   Name of Supervisor: Tel:
   
   
2. Company name/nom de la compagnie:
   Address/Adresse:
   Position/Poste: Salary/Rénumération:
   Start Date/Date de début: End Date/Date Terminé:
   Reason for leaving:
   Name of Supervisor: Tel:

Please check only the skills you have aquired/Veuillez cochez les aptitudes que vous possédes
B (Basic)       I (Intermediate)      A (Advanced)

Word Processing		Tracking systems		Financial/Accounting		Desktop Publishing		Database
WordPerfect	- B I A	CS CIMS	- B I A	Excel	- B I A	Corel Draw	- B I A	MS Access	- B I A
MS Word	- B I A	C.O.T.S.	- B I A	Lotus 1-2-3	- B I A	MS Office	- B I A	Oracle	- B I A
PowerPoint	- B I A	RIMS	- B I A	S.A.P.	- B I A	Harvard Graphics	- B I A	FoxPro	- B I A
MS Project	- B I A	SIGNET	- B I A	Fincon	- B I A	Illustrator	- B I A	CICS	- B I A
Administrative Skills		CCM	- B I A	Accpac (Bedford)	- B I A	FrameMaker	- B I A	DB2	- B I A
Travel Arrangements	- B I A	WEB CIMS	- B I A	Simply Accounting	- B I A	QuarkXpress	- B I A	PowerBuild	- B I A
Ministrial Corres.	- B I A	MECS	- B I A	FisMark	- B I A	Corel Ventura	- B I A	Other Skills
Briefing Notes	- B I A	RDIMS	- B I A	QuatroPro	- B I A	Pagemaker	- B I A	Reception	- B I A
Q & A's	- B I A	Agenda Scheduling		FISmark	- B I A	Photoshop	- B I A	Human Resource	- B I A
BF System	- B I A	Lotus Notes	- B I A	FreeBalance	- B I A	AutoCad	- B I A	Data Entry	- B I A
Minutes	- B I A	GroupWise	- B I A	Accnts. Payable	- B I A	MS Publisher	- B I A	Mail Room	- B I A
Dictaphone	- B I A	MS Outlook	- B I A	Accnts. Receivable	- B I A	Macintosh	- B I A	Filing	- B I A
Conference Bookings	- B I A	Paramaître (Legal)	- B I A	Purchasing	- B I A	FrontPage	- B I A	Library/Archives	- B I A
Travel Expense Claims	- B I A	Itineraries	- B I A	Book Keeping	- B I A	Web Maintenance	- B I A

 

Certification: I hereby state that all information on this application is correct and hereby consent to the disclosure of the information contained within and its subsequent verification. I consent to the submission of my resume by Personnel Force to organizations offering temporary placements without my knowledge, and as deemed appropriate by Personnel Force in exclusive discretion. Attestation: Je sousigné (e), atteste que les renseignements fournis dans la présente formule sont exacts et je consens par la présente à la divulgation de ses renseignements et à leur verification ultérieure.