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2013 SUMMER STUDENT EMPLOYMENT PROGRAM - APPLICATION ADDENDUM
The Corporation of the Town of Whitby
Human Resource Services
575 Rossland Road East, Whitby, ON L1N 2M8
Telephone: (905) 430-4313 Fax: (905) 430-4340
E-mail: summeremployment@whitby.ca
IMPORTANT INFORMATION
Do not use for the Summer Camp Employment Program.
1. To be considered for the 2013 Summer Student Employment Program positions, this application
addendum must be completed, signed, attached to a current resume, and submitted to Human
Resource Services at the above address, e-mail or fax by the application deadline date of January 7th
,
2013.
2. The information you provide on this application form and your resume will be used to determine your
eligibility for summer employment for the 2013 season. Applications that do not provide sufficient
information may not be considered.
3. Those candidates selected for an interview will be required to provide proof of enrolment, at the time of
an interview, that they are enrolled in and attending a Post-Secondary Institution on a full-time basis
for the 2012/2013 academic year.
4. Candidates selected for an interview will be required to show their current Full-Time Student
Identification Card at the interview.
SECTION A - CONTACT INFORMATION
LAST NAME: FIRST NAME:
ADDRESS: CITY/TOWN: POSTAL CODE:
APPLICABLE PHONE NUMBER(S) E-MAILADDRESS:
(HOME): (CELL): (SCHOOL):
SECTION B – PRIMARY INFORMATION
Are you legally entitled to work in Canada as a student?  YES  NO
For the school year of 2012/2013, please indicate what type of educational institution you have been
attending?
 HIGH SCHOOL  COLLEGE  UNIVERSITY
Are you currently enrolled on a Full-Time basis for the 2012/2013 school year?  YES  NO
Will you be returning to a Post-Secondary Institution on a full-time basis for the
2013/2014 school year?
 YES  NO
In order to be employed for the Town of Whitby, you must meet a minimum age
requirement of 16 years. Can you meet this requirement?
 YES  NO
Are you currently employed, or have previously been employed, by the Town of
Whitby? If “yes”, please indicate when:
 YES  NO

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Please indicate the name of the Post-Secondary Institution you are currently attending
Please indicate the name of the Academic Program:
Please indicate your Major/Minor (if applicable):
Please indicate the length of the program (years). 1 2 3 4 5
(YEARS)
Please indicate the year in which you are currently enrolled. 1 2 3 4 5
(YEARS)
Comments: If your current program is at its final year (ex.:3 of 3) and you are beginning a new program for the upcoming school year
(2013/2014), please indicate the school name, program name and the number of years of the program you will be attending beginning in
September 2013.
.
Please indicate your preference for summer employment positions. Please refer to the Town of Whitby
website (www.whitby.ca) for a list of positions on the advertisement.
Note: Candidates will be screened based on related course of study, experience and how closely they meet the requirements of
the opportunity (as outlined in the posting).
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Note: Some positions require incumbents to possess a valid Driver’s License and
satisfactory Driver’s Abstract.
Do you currently possess a valid Ontario Driver’s Licence (or equivalent) in good
standing?
Please indicate which class of licence you possess.
Note: For those positions requiring a valid Driver’s Licence, offers of employment will be
conditional until this documentation is obtained.
 YES  NO
 G  G1  G2
 OTHER
DECLARATION BY APPLICANT
I understand and agree that the information provided by me on this application (and attached sheets) is accurate and complete, and understand
that any misrepresentation made by me in connection with this application will be sufficient cause for cancellation of the application and/or
termination of future employment with the Corporation of the Town of Whitby. I hereby authorize the Corporation of the Town of Whitby to make
such inquiries respecting the foregoing information as may be deemed necessary.
I understand that I may be required to show proof of the validity of my Driver’s Licence, Professional Licences, entitlement to work in Canada, and
enrolment in a Post-Secondary Institution when such certification constitutes a job requirement.
I agree to present proof of age if I am offered a position with the Corporation of the Town of Whitby, understanding that it is essential information for
insurance/pension purposes. I understand that not all positions are available to me upon application.
Signature: Date:
Personal information on this form is collected under the authority of the Municipal Act, R.S.O., 1990 C.M45, and the Municipal Freedom of Information and Protection of
Privacy Act, R.S.O. 1990, C.M56, and will be used to assess qualifications for employment with the Town of Whitby. Questions about this collection should be directed
to Human Resource Services, The Corporation of the Town of Whitby, 575 Rossland Road East, Whitby, ON, L1N 2M8 (905) 430-4313.