ONLINE APPLICATION FORM
Application for Employment
Date of Application:
September 7, 2010
Operator
Mechanic
Cleaner/Service
Dispatcher/Supervisor
Maintenance Foreman
PERSONAL INFORMATION
Last Name: First Name:
Address: City:
Province: Postal Code:
-
Telephone: (Residence) Telephone: (Business)
( ) ( )
Telephone: (Cellular) Email Address:
( )
Date Available for Employment: Resume Attached:
- -
Yes:
No:
At this point, you may wish to upload a Resume. Do so here:

To attach your resume, click on the Browse button and attach your resume file.
Please Note: Only MS Word (.doc) or Adobe Acrobat (.pdf) files can be accepted.
Upload a scanned copy of your driver's license here:
Upload your driver's abstract here:
Have you previously been employed by Whistler Transit?
Yes:
No:
(indicate approximate date)
Were you previously employed with other Divisions of Pacific Western Transportation?
Yes:
No:
(Indicate Division & dates of employment)
Division:
From:
To:
Have you been approved time off from your current employer?
Yes:
No:
Please indicate how many weeks you can commit to working for the Olympic games:
2 weeks
3 weeks
4 weeks
4+ weeks
Are you legally entitled to work in Canada?
Yes:
No:
Physical or Medical Condition or Limitation
Please Note:

Applicants applying for all Driver positions must be aware and understand that they are required to exert considerable physical effort requiring the use of: the arms, hands, legs and back. Applicants who have physical limitations would be unable to safely and successfully perform all required elements of a motorcoach/bus driver/operator.

Prior to completing the question below:

I have read and understood the above and have no physical, medical or other limitation that would prevent me from driving/operating any motorcoach or bus equipped with a standard transmission.


Do you have any physical or medical conditions or limitations which could affect your ability to perform this job on a regular basis?YES NO

If YES, please explain.
EDUCATION
Date Completed
Diploma/Degree/Ticket
highest grade completed
High School
Post Secondary Education
Trade/Technical or Other
(Journeyman should indicate Red Seal designation)
EMPLOYMENT HISTORY
(Please provide employment history starting with most recent)
Company Name:
Position Held:
From: To:
Responsibilities:
Company Name:
Position Held:
From: To:
Responsibilities:
Company Name:
Position Held:
From: To:
Responsibilities:
DRIVING EXPERIENCE
Class of Equipment
Number of Years
Total Miles
Tractor & Semi-Trailer
Motor Coach
(Check each you have driven)    Manual Automatic
Transit Bus
(Check each you have driven)    Manual Automatic Transit Bus Shuttle Bus
Do you hold a Class 2 with air brakes endorsement?
Yes:
No:
Do you have experience driving a Nova Bus?
Yes:
No:
Please list any additional information and/or additional training that you feel may be an asset or relevant to the position in which you applying for:
APPLICANT DECLARATION

Please "Electronically Sign" this Application by checking the box below the Applicant Declaration.

I declare that the foregoing information provided in my Application and/or in my Resume to be true and complete to the best of my knowledge. I understand that false statements, incomplete information or omissions will result in the disqualification of my Application and/or termination of my Employment.
(If you agree to the above declaration, please check this box)
STEP 2
Consent Form A

Consent for Disclosure of Personal Information for Background Checks

To ensure accuracy, complete this form in its entirety.

Reason for disclosure and consent:

I understand that Whistler Transit. has engaged BackCheck to conduct the following background inquiries in connection with my application or candidacy for employment with Whistler Transit: employment reference checks, work history verification, education verification, credential verification, credit history inquiry, Criminal History Check, civil or criminal court history and driver abstract. The information collected by BackCheck will be kept strictly confidential and will be obtained and used only in accordance with applicable municipal, provincial and/or federal freedom of information and privacy legislation.

I certify that to the best of my knowledge, the information I have provided on all BackCheck consent forms and on my resume and/or application form is complete and accurate in every respect. I understand that a false statement or omission of facts therein may disqualify me from employment or result in my subsequent dismissal for cause if I am employed.

Personal Identification Information:

I understand that the following information is for identification (ID) purposes only, allowing BackCheck to accurately proceed with the assembly of background check reports. I consent to the provision of the following personal information to BackCheck for the purposes of completing background check reports on behalf of Whistler Transit I understand that BackCheck will hold all personal identification information confidential and will only release information to third parties as necessary for the completion of background check reports.
You Must Agree to the Statement Above to Proceed
AGREE
DISAGREE
Application Date: 2010/09/07
Given Name(s): Middle Name(s):
Surname:
Gender (Check one)
Female Male
Maiden Name & Other names used, either past or present, including, aliases and nicknames:
Birth Date: (yyyy/mm/dd)
Place of Birth:
City
Province
Country
Current Address:
Unit #
Street #
Street Name
Postal Code
Current Address Continued:
City
Province
Country
Previous Address – if less than 5 years ago:
Unit #
Street #
Street Name
Postal Code
Previous Address Continued:
City
Province
Country
Telephone:
Alternate Telephone:
SIN:
ext.
ext.


Consent Form B
Consent for Disclosure of Personal Information

Canadian Criminal History Check & Vulnerable Sector Search
PLEASE NOTE: The following information and photocopies of identification are for identification purposes only, allowing BackCheck to accurately proceed with the assembly of criminal record information for employment purposes. BackCheck will hold all personal information confidential.

I provide consent that the same personal information provided in Consent Form A may be used in Consent Form B.

I certify that the information in this Disclosure for Personal Information
is true and correct to the best of my ability

You Must Agree to the Statement Above to Proceed
AGREE
DISAGREE
Declaration of Offences
Have you been convicted of a criminal offence for which a pardon has not been granted? Yes No
Have you been granted a conditional discharge within the past three (3) years? Yes No
Have you been granted an absolute discharge within the past year? Yes No
If Yes, please provide details on ALL convictions:
Offence
Date (yyyy/mm/dd)
Location
Penalty

(if more space is needed, please upload a document detailing
additional convictions as required):



To upload a document, click on the Browse button and attach your resume file.
Disclaimer: The existence of a conviction will not preclude you from consideration for employment with Whistler Transit. Details of the offence are requested to enable Whistler Transit. to determine whether the offence is related to your employment or intended employment.
Statement of Understanding and Consent

I have applied to Whistler Transit. for employment. Part of the screening process includes a criminal history check which searches the RCMP Canadian Police Information Centre (CPIC) database. BackCheck conducts these investigations on behalf of Whistler Transit. I hereby consent and authorize a Canadian Police Department to search for and disclose on my behalf to BackCheck who is requesting the criminal history check on behalf of Whistler Transit. the fact that records may exist on me and are registered on the CPIC database. I acknowledge that such records may include information relating to criminal convictions under the Criminal Code ( Canada ) for which a pardon has not been granted and conditional and abolute discharges which have not been removed from the CPIC database in accordance with the Criminal Records Act.


I authorize BackCheck to release all information obtained to Whistler Transit. and hold harmless BackCheck upon the release of this information or its findings to Whistler Transit I understand that failing to provide accurate information or omission of facts herein may disqualify me from consideration for employment with Whistler Transit

Furthermore, if there is a discrepancy with the information provided by myself on this form and that disclosed by a Canadian Police Department during this investigation of my criminal records history, I understand that I have the option to provide my fingerprints to resolve any discrepancy or dispute.

This request is made incompliance with any applicable provincial or municipal public sector privacy legislation which allows a public body or municiplity to disclose my personal information to me or my agent upon my request, and in particular in accordance with the Nova Scotia Municipal Government Act and the Ontario Municipal Freedom of Information and Protection of Privacy Act.
You Must Agree to the Statement Above to Proceed
AGREE
DISAGREE
Date: (yyyy/mm/dd)
Vulnerable Sector Searches

This section of the form is to be completed additionally by anyone applying for a position of authority and trust and is responsible for the well being of one or more children or vulnerable persons. The candidate consents to a search being made of criminal conviction records to determine if the candidate has been convicted of a sexual offence listed in the schedule to the Criminal Records Act and has been pardoned.

I consent to a search being made in the CPIC database which is maintained by the RCMP, to find out if I have been convicted of, and been granted a pardon from, any of the sexual offences that are listed in the schedule to the Criminal Records Act. I understand that as a result of giving this consent, if I am suspected of being the person named in a criminal record for one of the sexual offences listed in the schedule to the Criminal Records Act in respect of which a pardon was granted or issued, that record may be provided by the Commissioner of the RCMP to the Solicitor General of Canada, who may then disclose all or part of the information contained in that record to a police force or other authorized body. That police force or authorized body will then disclose that information to me. If I further consent in writing to disclosure of that information to the person or organization referred to above that requested the verification, that information will be disclosed to that person or organization.
You Must Agree to the Statement Above to Proceed
AGREE
DISAGREE
Date: (yyyy/mm/dd)
Consent Form C

Consent for Disclosure of Personal Information

Employment References & Verifications

To ensure accuracy, you must complete this form in its entirety.
In connection with my application for employment with Whistler Transit. I understand that reference checks and requests for work history verifications may be made regarding my current of past employment. These reports will include some or all of the following components relating to my employment experience: job description, dates of employment, position(s) held, rate of pay, subjective or objective opinions of my job performance, reputation and character, reasons for departure of past employment and/or eligibility for rehire.
Are you currently employed? Yes No
If Yes, who is your current employer?
May BackCheck contact your current employer’s Human Resources/Payroll department to verify your employment? Yes No
If you have listed a reference from your current employer below, may BackCheck contact that reference for a reference interview? Yes No


Please provide 3 work-related references BackCheck may contact in the space below

Most Recent Employers, Managers, Supervisors ONLY, Family, Co-workers or Friends are NOT Applicable
~Do NOT list employers or people you do not want contacted. BackCheck WILL contact all references below.~
REFERENCE 1
Name of Company you worked at with the Reference: Name of Company that the Reference currently works at, if different:
Reference’s Name
Location: (City, Region and/or Store#) Reference’s Position:
Starting Date: (yyyy/mm) Ending Date: (yyyy/mm) Applicant’s Position:
Reason for Leaving:
Preferred Language:
English French
Reference’s Phone Number: Reference’s Email Address:
REFERENCE 2
Name of Company you worked at with the Reference: Name of Company that the Reference currently works at, if different:
Reference’s Name
Location: (City, Region and/or Store#) Reference’s Position:
Starting Date: (yyyy/mm) Ending Date: (yyyy/mm) Applicant’s Position:
Reason for Leaving:
Preferred Language:
English French
Reference’s Phone Number: Reference’s Email Address:
REFERENCE 3
Name of Company you worked at with the Reference: Name of Company that the Reference currently works at, if different:
Reference’s Name
Location: (City, Region and/or Store#) Reference’s Position:
Starting Date: (yyyy/mm) Ending Date: (yyyy/mm) Applicant’s Position:
Reason for Leaving:
Preferred Language:
English French
Reference’s Phone Number: Reference’s Email Address:

I hereby authorize any of the above-listed employers, those employers listed on my resume or those employers uncovered during the course of my background check to release to BackCheck on behalf of Whistler Transit. the above-mentioned information regarding my current or past employment.

I hereby authorize BackCheck to release all information obtained under this consent only to Whistler Transit. and in no way hold BackCheck liable upon the release of this information or its findings to Whistler Transit. I also authorize BackCheck to send a facsimile or electronic copy of this signed consent form to any references listed above or any employers listed on my resume.
Upload a letter of reference from your current employer here:
Please TYPE your full name:
~ To expedite your applicaiton please contact your references and inform them that BackCheck will be contacting them ~
You Must Agree to the Statements Above to Proceed
AGREE
DISAGREE