APPLY

PI Values/Culture

APPLY

Thank you for your interest in Pacific Insight Electronics Corp. You may apply on-line by completing the form below, which is sent directly to our Human Resources department once you submit the form. If you prefer not to apply on-line, you may download the .pdf version of our application (requires adobe acrobat reader) which you can then fax or email to our Human Resources department . Note: Our system will not accept multiple applications from any one individual in a six month period so please do not send more than one application. * - indicates required field

Date:

Personal Information

First Name: *
Last Name: *
Address: *
City: *
Province: *
Phone: *
Email: *
Postal Code: *

Position applying for:
Are you currently employed?	Yes No

Date of availability:


Employment History Please list your present or most recent position first

From: / / *	To: / / *
Company Name: *
Address: *
Telephone: *
Position Held: *
Name of Supervisor:
Salary wage start:
Salary wage end:
Reason for leaving:
May we contact this employer?* Yes No

From: / /	To: / /
Company Name:
Address:
Telephone:
Position Held:
Name of Supervisor:
Salary wage start:
Salary wage end:
Reason for leaving:
May we contact this employer? Yes No

From: / /	To: / /
Company Name:
Address:
Telephone:
Position Held:
Name of Supervisor:
Salary wage start:
Salary wage end:
Reason for leaving:
May we contact this employer? Yes No

Education

High School:
Location:
Did you graduate?	Yes No
Credit/Diploma:
Dates attended:
From: / /	To: / /

Vocational/Trade School :
Location:
Did you graduate?	Yes No
Credit/Diploma:
Dates attended:
From: / /	To: / /

Technical Institute :
Location:
Did you graduate?	Yes No
Credit/Diploma:
Dates attended:
From: / /	To: / /

University/College:
Location:
Did you graduate?	Yes No
Credit/Diploma:
Dates attended:
From: / /	To: / /

Personal References Do not list former employers or relatives

Name:
Phone Number:

Name:
Phone Number:

Name:
Phone Number:

Additional Information

If you feel there are any other skills or qualifications that would be relevant in providing you with employment within our organization, please provide them below.



Applicant Declaration

By submitting your application you warrant that this application is true and complete and that you have read, understood and agree to: (i) the terms of our privacy policy; and (ii) that any untrue statements may be cause for dismissal.

We sincerely appreciate your interest in working with Pacific Insight Electronics Corp. While we appreciate the time you have taken in completing our application, please be advised that only those candidates being considered for employment will be contacted for an interview.

1155 Insight Drive, Nelson, BC V1L 5P5

phone: 1.250.354.1155

fax: 1.250.354.1166

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