1. 1
75 Prince Street, Sydney, NS B1P 5J9
Phone: (902)539-1185
Fax: (902)539-6101
Pathways is not-for-profit organization that provides individuals living with mental illness with a
variety of competitive, supported employment opportunities through our social business.
JOB APPLICATION
Personal Information
Name:
Gender Male Female
Are you a visible minority? Yes No If yes, specify:
Date of Birth: Current Age:
Address:
Postal Code:
City: Province:
Phone: Alternative:
Emergency Contact: Phone:
Social Insurance Number: Current Income:
APPLYING FOR
Pre-Employment Program
Business Line
Community Employment
Other (Specify )

2. 2
Have you ever participated in past Pre Employment Programs? Example: YMCA Development
Center, Horizon Achievement Center. Yes No
If yes, where?
Educational History
Highest Grade Completed: Year Completed:
Name any other Academic Programs Attended:
Employment & Volunteer History
1. Employer:
Position:
Brief Job Description:
Dates Employed: From To
Reason for Leaving:
2. Employer:
Position:
Brief Job Description:
Dates Employed: From To
Reason for Leaving:

3. 3
List Any Volunteer Work or Interests Here:
Reference Names & Contact Information
PLEASE ATTACH AN UP-TO-DATE RESUME IF POSSIBLE