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Application For Work

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Tel. (506) 789-2944
Fax (506) 789-2925

Village of / d' Atholville
247 rue Notre Dame Street
Atholville, NB
E3N 4T1

Application For Work / Demande d'emploi

Date: ____________________

Nom / Name: ___________________________________________

Adresse / Address: ___________________________________________

No. Téléphone / Telephone Number: ______________

Application Étudiant / Student    
Avez-vous l’age légal pour travailler? __Oui __Non
Are you of legal age to work? __Yes __No
  ___Non étudiant temps partiel  
 ___Non Student Part Time  
  ___Non étudiant temps plein  
  ___Non Student Full Time  
Genre d'emploi : ____________________________________
Type Of Work : _____________________________________
Année scolaire terminée:________ Date: ________  
School Grade Completed:________ (Mois/Année - Month/Year)  
Qualifications: ______________________________________________________
Langue parlées:
Spoken Languages
____Français / French ____Anglais / English
Langues écrites
Written Languages
____Français / French ____Anglais / English
Reference :
Pour étudiants / For Students :
Nom des parents :
Parents; Name:
Étiez-vous un(e) étudiant(e) à temps plein cette année?
Were You A Full Time Student This Year?
____Oui / Yes
____Non / No
Retournez vous aux études en septembre?
Are You Returning To School Next Year?
____Oui / Yes
____Non / No
Si oui Pleins temps Temps partiel
If Yes Full Time Part Time
Signature: __________________________________________

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