Hardwood Flooring Wickham
Enhance the Look
of Your Home
Nothing comes close to the comfort and warmth of hardwood flooring. With Wickham Hardwood Flooring, you’ll enjoy the luxurious sensation of the forest under your feet. Best of all, you’ll add a distinctive look to your surroundings.

Employement Opportunities


Date :
*Name :
Address :
*Postal Code :
*Telephone :
Sex : F   M
Height :
Weight :

Primary language :
Other language(s) :
Did you obtain your high school diploma?  Yes
Last school year completed :

Computer knowledge :

 Very good  Good  Weak
Do you have a car? Yes   No
Do you have your driver’s license? Yes   No



Do you receive unemployment insurance?
If yes, since when?		 Yes  No
Do you have any allergies?
If yes, specify.		 Yes   No
Do you suffer from any sickness or did have a major accident or did you go under surgery in the past 5 years?
If yes please specify.		 Yes    No

Did you ever take the first aid course? Yes   No
Can you operate a fork lift?
If yes, how many months or years of experience do you have?		 Yes   No


Job applying for
Full time Part time  Student
Day shift Night shift
*When can you start working?
Do you have any family or friend already working here?
If yes, who is it?		 Oui  Non
Join your résumé :  


Please write the name & address of your last three employers.

Employers #1
Name :  
Address :
Tel. :
Job occupied :
Salary :
Work From  to  
Reason of departure :
Contact name :

Employers #2
Name :
Address :
Tel. :
Job occupied :
Salary :
Work From   to  
Reason of departure :
Contact name :


Employers #3
Name :
Address :
Tel. :
Job occupied :
Salary :
Work From  to  
Reason of departure :
Contact name :


I agree to take a medical examination before employment, including illegal drug & alcohol detection and I also agree to take a periodic medical examination by a doctor assign by the company as long as all medical information are within my employment or with the eligibility of employee benefits.  I consent to the same conditions concerning the transmission of my medical records, but my approval is valid only for the time necessary of my hiring and for the duration of my employment.  In the case of my employment termination this consent will be valid only for the time of a settlement in any dispute.
I agree

Subject to the rights of  the protection of personal information in the private sector and its rules, I consent, in case of my employment, that Wickham Hardwood flooring can use all information in my employee’s files, health and disciplinary, even after the termination of my employment only for the time of a settlement in any dispute.
I agree

By this, I authorize Wickham Hardwood Flooring, to call any of my references to verify my previous employment and if I am hired, to call my present employer.  I also authorise the company to take any necessary information regarding my hiring.  I discharge everyone or any society who gives out this information from any liability.   If I am hired, I authorise Wickham Hardwood Flooring to communicate with a potential employer following a lay off of the end of my employment, any references about me, I also discharge them from all responsibilities.
I agree

It is agreed that if I am hired, I will be under probation for a trial period accordingly to the rules of the company, a period during which I could be dismissed without notice and without civil remedy.
I certify, in response to the questions above that this declaration is within the truth and exact.  I recognise that all false declaration or omission from me may and will result of an immediate dismissal without notice.
I agree