204-956-9700 info@imagineability.ca ABOUT US SUPPORT SERVICES BUSINESS SERVICES OTHER LINKS CONTACT US DONATIONS Current Opportunities Direct Support Professionals (DSPs) – Community Based Services – Click to Download PDF Employment Application Form First Name* Last Name* Address* City* Province* Postal Code* Home Phone Cell Phone E-mail Position Applied For Expected Rate of Pay If hired, when would you be able to start? Please Check off Yes or No Would you be interested in working a voluntary one week intership? Yes No Can you work at other ImagineAbility locations within the city? Yes No Do you have available transportation? Yes No Are you legally entitled to work in Canada? Yes No If not, please explain: Were you previously employed with us? Yes No If yes, when? Do you have any physical challenges that may affect your ability to perform your duties in support of our client workes or warehousing positions? Yes No If yes, please explain: Do you know of any legal or other reason that would prevent us from hiring you for a position dealing with people with disabilities? Yes No If yes, please explain: Education Level of Education High School College University Other School Name/City Grade/Diploma/Degree Completed References Reference 1 Name Reference 1 Occupation Reference 1 Phone Reference 2 Name Reference 2 Occupation Reference 2 Phone Reference 3 Name Reference 3 Occupation Reference 3 Phone Employment History - Start with present employer Employer 1 Name Employer 1 Address Employer 1 Phone Dates Employed Final Rate of Pay Who did you report to? Describe your position and position Reason for leaving Dismissed Quit Laid Off Comments If called for a reference, what would this employer say about your performance? Employer 2 Name Employer 2 Address Employer 2 Phone Dates Employed Final Rate of Pay Who did you report to? Describe your position and position Reason for leaving Dismissed Quit Laid Off Comments If called for a reference, what would this employer say about your performance? References and previous employers will be contacted. If, for some reason, you prefer we do not contact anyone noted above, please explain. Please attach your resume Upload Submit Reset © ImagineAbility 2017