If you are interested in working for PNR, please fill out the following on-line application form. When you are finished, simply press the "submit" button at the bottom of the page. If you would like, you can print your completed form by pressing the "print" button. Position you are applying for: Labourer Driver Mechanic Management Other General Information Name Address Phone No. Email Address Birth date Place of birth Citizenship Languages spoken Languages read / write Marital status Single Married Common law Weight Height Health Do you have any railway experience? Yes No If yes, when? Job description Where? Were you previously employed by us? Yes No If yes, when and for how long? Where? What did you do? Name of Foreman Reason for leaving? Have you ever operated a machine? Yes No What type of equipment? Are you mechanically inclined? Do you have your own tools? Yes No Do you have a valid driver's license? Yes No Have you ever been charged with impaired driving or any criminal offense? Yes No If yes, explain What union do you belong to? Are your dues paid up? Yes No When are you available for work? Will you work away from home for long periods of time? Yes No WORK HISTORY (Name two most recent employers) Employer 1 Position Supervisor's name Starting date Finishing date Rate of pay Reason for leaving Employer 2 Position Supervisor's name Starting date Finishing date Rate of pay Reason for leaving EDUCATION Grade completed Year School Post secondary courses or training REFERENCES (No Relatives) Name Phone no. Occupation/Position Company Name Phone no. Occupation/Position Company Any other reasons/qualifications why you should be given this job