Application for Employment

Town of Pelham Application Form

All applications will be held in strict confidence. Personal information is collected under the authority
of the Municipal Freedom of Information and Protection of Privacy Act and will be used for
employment assessment purposes only. Questions about this collection should be directed to the
Clerk, 20 Pelham Town Square, FONTHILL, ON, L0S 1E0 - 905-892-2607 ext.333

Please Fill out the Application for Employment *

	Position Applying For	Date of Application	Date Available for Work
Information	Position Applying For	Date of Application	Date Available for Work

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Upload your cover letter

Upload your resume *

THIS APPLICATION IS MADE UPON THE FOLLOWING CONDITIONS:

I hereby certify that the information given is true and correct to the best of my knowledge. I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal. *

Yes