About Us / Application for Employment

INSTALLER APPLICATION FOR EMPLOYMENT

TODAYS DATE: EXPECTED PAY:
INSTALLERS PARTICULARS
NAME:    
TEL. NO.: FAX. NO.:
ADDRESS: APT. NO.:
CITY: POSTAL CODE:
SOCIAL INSURANCE NUMBER: DRIVERS LICENSE NUMBER:
DATE OF BIRTH: COMPANY NAME IF ANY:
G.S.T # BUSINESS ADDRESS:
VEHICLE IDENTIFICATION
EXAMPLE; LIC. No. / MAKE:
   
PREVIOUS EMPLOYERS
#1 EMPLOYER PERIOD WORKED / FROM & TO
PHONE REASON FOR LEAVING
#2 EMPLOYER PERIOD WORKED / FROM & TO
PHONE REASON FOR LEAVING
#3 EMPLOYER PERIOD WORKED / FROM & TO
PHONE REASON FOR LEAVING
List suppliers / Distributors that you deal with regularly.
#1 NAME ADDRESS
PHONE CITY / PROVINCE
#2 NAME ADDRESS
PHONE CITY / PROVINCE
#3 NAME ADDRESS
PHONE CITY / PROVINCE
Indicate recent jobs which can be checked for workmanship.
#1 NAME ADDRESS
PHONE CITY / PROVINCE
#2 NAME ADDRESS
PHONE CITY / PROVINCE
#3 NAME ADDRESS
PHONE CITY / PROVINCE
List Cities, Countries, and Provinces in which you are licensed to work. Indicate type of license, number, and expiration date.
#1 CITY / PROVINCE TYPE OF LICENSE
LICENSE NUMBER EXPIRATION DATE
#2 CITY / PROVINCE TYPE OF LICENSE
LICENSE NUMBER EXPIRATION DATE
#3 CITY / PROVINCE TYPE OF LICENSE
LICENSE NUMBER EXPIRATION DATE
Check the type of work you specialize in and licensed to perform.
Wood Windows Garden Doors Drywall / Plastering Final Remeasures
Vinyl Windows Bay Windows Soffit & Fascia Quality Control
Aluminum Windows Bow Windows Eavestroughing Trouble Shooting
Fibreglass Windows Capping (measuring & bending) Siding Storm Doors
Porch Enclosures Roofing Entrance Doors Sealed Units
Skylights Interior Doors Finish Carpentry Lock Installation
Patio Doors Rough Carpentry Knockouts  
Other Please Specify:
 
1. How many years of experience do you have in the trade ?
2. Have you ever had experience in the manufacturing field of the above checked off areas ?
3. If question 2 answered yes, please explain.
4. Have you ever been injured in the field of your expertise ? If yes, explain.
5. Do you have any sales experience, if yes, how many years?
6. Do you have any limitations? (ie.heights, working hours, etc.)
7. What days are you available ?
8. Nearest person to contact in case of Emergency ?
9. How were you informed about MIRANDA ?
10. Are you seeking a long or short term employment ? Please explain.

CONTRACTORS ONLY

Complete the following information regarding your present insurance coverage. If an installation contract is entered betweenMIRANDA and the contractor, the contractor is required to furnish a certificate of insurance signed by an authorized representativeof the Insurance Company(s) listing Miranda as an additional Insured.
TYPE OF INSURANCE INSURANCE CO.
/ POLICY #
EFFECTIVE
DATE
EXPIRATION
DATE
LIMITS OF LIABILITY
Workers' Compensation & Employer's Liability
Automobile Liability
General Liability
Comprehensive
Property Damage
Bodily Injury
Other (describe)
Products / Completed Operations
Independent Contractors
Contractual Liability endorsed to cover contract between Insured and MIRANDA
TODAYS DATE:  

Enter the following number: 9315 >

I hereby certify, this information provided on the face and reverse of this Application for Employment is to be true. The applicant hereby gives permission to the Employer or his agent to perform verification to contact previous employers, or take any other reasonable steps in order to adjucate this application. Any omissions or misstatements in this employment application may result in the termination of your employment even upon hiring.

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