Student Application Form
The City of Moncton is an equal opportunity employer.

To be eligible for a position with the City of Moncton corporation, applicants must  have been enrolled as a full time student within the last school year and must be returning in the Fall of 2015; or students may be eligible for summer employment in their graduating year if they have previously worked for the City of Moncton.


User Information
*Last Name
*First Name
*Address
Apt. #
*City
*Province
Country
*Postal/Zip Code
*Phone
Fax
E-mail

Complete only if summer residence is different than above.

Address
Apt. #
City
Province
Country
Postal/Zip Code
Phone
 

Job Choice
Select 1st, 2nd, and 3rd Choice
1st
2nd
3rd


For a detailed description of the summer jobs please click here.
Work Experience
Employer #1
From Date
(DD-MMM-YYYY)
To Date
(DD-MMM-YYYY)
Duties (Max 250 characters)


Employer #2
From Date
(DD-MMM-YYYY)
To Date
(DD-MMM-YYYY)
Duties (Max 250 characters)


Skills

Please list any skills(500 characters only), qualifications and work experiences you feel are relevant for work with the City of Moncton:

Language Skills
Spoken
Read
Written
English
French

Other languages


Education
Current Area of Study


Education:
High School Grade Completed Diploma Received Yes No Year Received
University Year(s) Completed Certificate/Diploma Received Yes No Year Received
College Year(s) Completed Certificate/Diploma Received Yes No Year Received

Information

1. Do you have CPR/First Aid training certification ? Date of last certification or N/A.


2. Citizenship


3. Were you previously employed by the City of Moncton ? If yes, when ?


4. What department did you work in ? In what area of that department ?


5. By whom were you hired (name of the supervisor) ?

6. RETURNING ENGINEERING STUDENTS, Please indicate your work preference:
Survey Assistant Survey Crew Chief or Inspector

7. *What date are you available to work ? (MMM-DD-YYYY)

8. Are there any conditions, example allergies, that could affect your ability to work in areas ?
    Please indicate the condition(s).

9. Valid Drivers License ? Yes No
Drivers License # Class Expiry Date
(DD-MMM-YYYY)

10. Do you have access to vehicle for work purposes ? Yes No

11. Years of driving experience ?

12. *Were you a student during the last school year ? Yes No

13. If yes, Please indicate name of school.

14. *Will you be attending High school or University/College in the fall of 2015 ? Yes No

15. If yes, Please indicate name of school.


References
*Reference #1 (Max 250 characters)

*Reference #2 (Max 250 characters)