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Application For Work
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Tel. (506) 789-2944
Fax (506) 789-2925Village 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 / NoRetournez vous aux études en septembre?
Are You Returning To School Next Year?____Oui / Yes
____Non / NoSi oui Pleins temps Temps partiel If Yes Full Time Part Time Signature: __________________________________________
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