Registration

APPLICANT INFORMATION:

Surname (last name):*

INT:

Given name(s):*

Social Insurance Number (SIN):

Date of Birth:*

(For payroll purposes)

Age:*

Status:*

TEMP
PERM

Transportation:*

CAR
BUS

Major Intersection:

Your Email:*

Home Phone:*

Cell Phone:

Emergency Number:*

Emergency Number Name:*

Current Address:

Number:*

Street:*

Apartment:

City:*

Province:*

Postal Code:*

Previous Address:

Within the last 5 years

Number:

Street:

Apartment:

City:

Province:

Postal Code:

EDUCATION INFORMATION

Education Completed:

High School:

University:

College:

Other:

Location:

From MM/YY:

To MM/YY:

Major:

Degree:

EMPLOYMENT INFORMATION - A

Are you Bondable*

YES
NO

Reason:

EMPLOYMENT INFORMATION - B

1) Current / Most Recent

(Please start with the current or most recent employer)

1) Company:*

From:*

To:*

Job Title:*

Duties:*

Reference Name:*

Phone Number:*

Number of Employees:

Base Income:

Hourly Rate:

Total Income:

Shifts

Days
Evenings

Reason for leaving:

2) Previous

2) Company:

From:

To:

Job Title:

Duties:

Reference Name:

Phone Number:

Number of Employees:

Base Income:

Hourly Rate:

Total Income:

Shifts

Days
Evenings

Reason for leaving:

Do you have safety boots?*

YES
NO

Can you work same day?*

YES
NO

Shifts you are available for (Check Appropriate Boxes)*

Days
Evenings
Midnights

SKILLS / EXPERIENCE

Please check only those skills in which you are experienced

Secretarial

Shorthand
Dictation
Statistical
Financial
Policy
Correspondence
Manuscript
Claims
Legal

Computer Software

Specify DOS/Windows/Mac

Wordperfect
Lotus
Microsoft Word
Excel
Other

Reception

SL-1
Mitel
AT&T
Meridian
Other

Reception

Data Entry

STD Keypunch
Rev PC
3741 / 3742
AS400 36 / 38

Industrial

Shipping
Receiving
Forklift License
Raymond Reach Lic.
Collating
Picker / Packer
Assembly
Punch Press
Inventory Control

Drivers

G
DZ
AZ

Clear Abstract

Yes
No

Other Skills:

Employment agencies I have worked for:

Companies I was sent to:

CRIMINAL RECORD VERIFICATION:

Informed Consent Form

Reason for the Criminal Record Verification

Reason for Request: Employment
Organization Requesting Search: Ready Staffing Solutions
Contact Name: Yvan Brodeur
Contact Phone Number: 905-625-4009

Personal Information

Surname (last name) at birth:

Former name(s):

Place of birth (City, Province/State, Country):

Sex (check one)*

Female
Male

Informed Consent

SEARCH AUTHORIZATION I HEREBY CONSENT TO THE SEARCH OF the RCMP National Repository of Criminal Records based on the name(s), date of birth and where used, the declared criminal record history provided by myself. I understand that this verification of the National Repository of Criminal Records is not being confirmed by fingerprint comparison which is the only true means by which to confirm if a criminal record exists in the National Repository of Criminal Records.

POLICE INFORMATION SYSTEM(S) I HEREBY CONSENT TO THE SEARCH OF police information systems, as part of a Police Information Check, which will consist of a search of the following systems (check applicable)

CPIC Investigative Data Bank

AUTHORIZATION AND WAIVER to provide a confirmation of criminal record or any police information.

I certify that the information set out by me in this application is true and correct to the best of my ability. I consent to the release of the results of the criminal record checks to Able Investigations (Tax-Able Accounting Inc, located in Niagara Falls, ON.

I hereby release and forever discharge all members and employees of the processing Police Service and the Royal Canadian Mounted Police from any and all actions, claims and demands for damages, loss or injury howsoever arising which may hereafter be sustained by myself as a result of the disclosure of information by the Cobourg Police Services to Ready Staffing Solutions, Mississauga, ON

D. Identification Verification:

Electronic Verification | Ready Staffing Inc - Internal Use

Name and location of the company where information will be stored in Canada: Ready Staffing Solutions Inc, Mississauga, ON

**Information related to this criminal record check is collected, retained and disclosed in accordance with applicable privacy legislation**

CRIMINAL RECORD VERIFICATION:

Declaration of Criminal Record Form

Declaration of Criminal Record
This form is required to be filled and attached to your Informed Consent Form for a Criminal Record Verification.

Information is collected and disclosed in accordance with federal, provincial, and municipal laws.

A Declaration of Criminal Record does not constitute a Certified Criminal Record by the RCMP and may not contain all criminal record convictions.

Applicants must declare all convictions for offenses under Canadian federal law.

Do not declare the following:

- A conviction for which you have received a Record Suspension (formerly pardon) in accordance with the Criminal Records Act;
- A conviction where you were a “young person” under the Youth Criminal Justice Act;
- An Absolute or Conditional Discharge, pursuant to section 730 of the Criminal Code;
- An offence for which you were not convicted;
- Any provincial or municipal offence, and;
- Any charges dealt with outside of Canada.

Note that a Certified Criminal Record can only be issued based on the submission of fingerprints to the RCMP National Repository of Criminal Records.

Offence:

Date of Sentence:

Court Location:

RE: CONDITION OF EMPLOYMENT:

Ready Staffing Solutions Inc

Contact: Branch Manager
5170 Dixie Road, Suite 204 Mississauga, Ontario, L4W 1E3
TEL: 905-625-4009 | FAX: 905-625-4369

I understand that my employment may be terminated at any time for cause without notice or payment in lieu of notice. Furthermore, Ready Staffing Solutions Inc. (“RSS”) may terminate my employment at any time for any reason providing me only the minimum amount of written notice required by the Employment Standards Act, 2000 or by paying me the minimum amount of termination pay in lieu of notice, or a combination of both, as well as paying severance pay (if any) and all other outstanding entitlements, if any, owing under the Employment Standards Act, 2000.

I agree that these payments fully satisfy the notice and severance obligations upon the termination of my employment, whether arising under the Employment Standards Act 2000, the common law, or this agreement.

For the purposes of section 56 of the Employment Standards Act, 2000, I agree that RSS may place you on a “temporary lay-off” for up to 35 weeks in a period of 52 weeks and that RSS may recall me to work by offering me a new assignment at any time prior to the end of the 35 week period.

I AUTHORIZE READY STAFFING SOLUTIONS TO DEDUCT FROM
MY PAY CHEQUE $35.00 FOR THE CRIMINAL BACKGROUND REPORT.

Consent*

I acknowledge that I have read and understand the above.

Signature*

Please sign below

Print Name:*

Date Signed:*

Signed at:*

Province*

Consent*

I agree to the privacy policy.

The privacy of our clients, employees, and staffing representatives is important to Ready Staffing Solutions Inc. (referred to as “we” or “us” or “the service provider” in this policy) and the purpose of this policy is to inform you what personal information we collect, how we use it, what may be disclosed to others, how long we keep it, and how you can request access to your personal information or obtain more information about Ready Staffing Solutions Inc.’s privacy policies.

Personal Information:
Personal information means any information about you except your name, business title, business address, business e-mail address, business telephone number or business fax number.

Please note:
Names, addresses, and telephone numbers listed in the telephone or other directories are not considered to be personal information.

Personal Information Collected:
We collect appropriate and pertinent personal information whenever you engage in one or more of the following with Ready Staffing Solutions Inc. directly or through our clients or staffing services representatives. Personal information may be collected verbally or non-verbally. Although you are registered, dispatched and supervised by the service provider, you are technically an employee of Ready Staffing Solutions. This information is also sent to Ready Staffing Solutions:

a) Application for employment
b) Inquiry regarding employment availability
c) Contact with any of our staffing service representatives or staffing service representatives of Ready Staffing Solutions
d) Any communication/conversations where information is offered

Personal information may include one, some, or all of the following information about you:

a) Name, address, and telephone number
b) Personal facsimile number and email address
c) Occupation (current and past)
d) Work history
e) Pay history
f) Language preference
g) Date of birth (we only require to know if you are over 18 and under 65 for purposes of Canada Pension) or actual date of birth for benefits purposes or if requested by WCB in the event of a work place injury
h) Social insurance number; work permit number; and other identification
i) Banking information for direct deposit
j) Driver’s license number or other photo identification
k) Marital status only if needed for benefits application
l) Personal emergency contact information
m) Hours worked
n) Physical limitations and capabilities for job offered
o) Credentials to support training and / or education

Please note:
Social Insurance Number and/or work permit number is required by law at time of hire.

Safeguarding Personal Information:
We use your personal information for the purposes listed below. Access to your personal information is restricted to our staffing service representatives who need access to perform their work.

Use of Personal Information:
Your personal information may be used for one or more of the following reasons related to providing customer service to you:

a) Provide employment services including references and employment confirmation
b) Obtain personal benefits
c) Provide referral to clients
d) Process payment by cheque or direct deposit
e) Provide updates and information regarding services
f) Follow-up to obtain your feedback on our level of service

Disclosing or Sharing Personal Information:
We do not sell your personal information to any outside source. We may be required to share some or all of your personal information with third party service providers including the following:

a) Prospective and existing clients
b) Financial institutions (re: direct deposit)
c) Insurance companies (re: benefits)
d) Staffing services representatives (re: quality assessment and risk management)

We may also disclose your personal information when we are required or permitted to do so by law – Canada Customs, WCB, Courts, and other government agencies.

Retention and Disposition of Personal Information:
We retain your personal information for the time that we believe you are referable for employment. When there are legal requirements related to the retention period of personal information, we will comply with those requirements. Personal information will be safeguarded against unauthorized access to avoid misuse and fraudulent use.

Personal information will be disposed after the appropriate retention period using approved methods including electronic file deletion and paper shredding. A matrix is provided in Appendix A identifying the personal information we collect, how we use it, what may be disclosed to others, and how long we keep it. This Appendix A forms a part of your application and your signature demonstrates your informed consent.

Your Rights to Limit Use of Personal Information:
The personal information that we collect is necessary to provide you with services related to your qualification, placement, and ongoing employment. Personal information is also used to build and maintain our relationship with you to serve you better.

If you wish to limit collection, use, or disclosure of your personal information, please contact our President who is also our privacy officer to discuss how we may honour your request and still continue to provide acceptable level of service.

Ready Staffing Solutions – Employee Application

APPLICANT INFORMATION:

Current Address:

Previous Address:

EDUCATION INFORMATION

EMPLOYMENT INFORMATION - A

EMPLOYMENT INFORMATION - B

1) Current / Most Recent

2) Previous

SKILLS / EXPERIENCE

Other Skills:

Employment agencies I have worked for:

Companies I was sent to:

CRIMINAL RECORD VERIFICATION:

Reason for the Criminal Record Verification

Personal Information

Informed Consent

D. Identification Verification:

CRIMINAL RECORD VERIFICATION:

Declaration of Criminal Record

RE: CONDITION OF EMPLOYMENT:

Ready Staffing Solutions Inc

I AUTHORIZE READY STAFFING SOLUTIONS TO DEDUCT FROM
MY PAY CHEQUE $35.00 FOR THE CRIMINAL BACKGROUND REPORT.

MISSISSAUGA HEAD OFFICE

REXDALE OFFICE

BRAMPTON OFFICE

Ready Staffing Solutions – Employee Application

APPLICANT INFORMATION:

Current Address:

Previous Address:

EDUCATION INFORMATION

EMPLOYMENT INFORMATION - A

EMPLOYMENT INFORMATION - B

1) Current / Most Recent

2) Previous

SKILLS / EXPERIENCE

Other Skills:

Employment agencies I have worked for:

Companies I was sent to:

CRIMINAL RECORD VERIFICATION:

Reason for the Criminal Record Verification

Personal Information

Informed Consent

D. Identification Verification:

CRIMINAL RECORD VERIFICATION:

Declaration of Criminal Record

RE: CONDITION OF EMPLOYMENT:

Ready Staffing Solutions Inc

I AUTHORIZE READY STAFFING SOLUTIONS TO DEDUCT FROM MY PAY CHEQUE $35.00 FOR THE CRIMINAL BACKGROUND REPORT.

MISSISSAUGA HEAD OFFICE

REXDALE OFFICE

BRAMPTON OFFICE

I AUTHORIZE READY STAFFING SOLUTIONS TO DEDUCT FROM
MY PAY CHEQUE $35.00 FOR THE CRIMINAL BACKGROUND REPORT.