Employment Application - Project Administrator Survey

Question Title

1. Contact Information

First Name

Last Name

Address

Address 2

City/Town

Province

Postal Code

Email Address

Phone Number

Question Title

2. Employment Data

	Yes	No
Do you have a valid driver's licence?	Do you have a valid driver's licence? Yes	Do you have a valid driver's licence? No
Do you have access to a vehicle on a daily basis (i.e., weekdays)?	Do you have access to a vehicle on a daily basis (i.e., weekdays)? Yes	Do you have access to a vehicle on a daily basis (i.e., weekdays)? No
Have you successfully completed Grade 12?	Have you successfully completed Grade 12? Yes	Have you successfully completed Grade 12? No
Have you had previous work experience with preparing documents and reports? (Meeting minutes, memos, letters, presentations, etc.)	Have you had previous work experience with preparing documents and reports? (Meeting minutes, memos, letters, presentations, etc.) Yes	Have you had previous work experience with preparing documents and reports? (Meeting minutes, memos, letters, presentations, etc.) No
Do you have experience with completing projects or tasks on schedule under time constraints	Do you have experience with completing projects or tasks on schedule under time constraints Yes	Do you have experience with completing projects or tasks on schedule under time constraints No
Do you have experience using any type of project management software? (Jonas, Prolog, MS project)	Do you have experience using any type of project management software? (Jonas, Prolog, MS project) Yes	Do you have experience using any type of project management software? (Jonas, Prolog, MS project) No
Do you have at least one year of administrative experience?	Do you have at least one year of administrative experience? Yes	Do you have at least one year of administrative experience? No
Are you legally entitled to work in Canada?	Are you legally entitled to work in Canada? Yes	Are you legally entitled to work in Canada? No
Have you ever been convicted of a criminal offence for which you have not been pardoned?	Have you ever been convicted of a criminal offence for which you have not been pardoned? Yes	Have you ever been convicted of a criminal offence for which you have not been pardoned? No

Question Title

3. Are you looking to work in Nova Scotia, New Brunswick, or Newfoundland?

Nova Scotia

New Brunswick

Newfoundland

Nova Scotia

New Brunswick

Newfoundland

Other (please specify)

Question Title

4. Do you self-identify as Aboriginal or as a member of a visible minority?
This question is optional, however, complies with the employment equity act in the elimination of discriminatory practices that prevent the entry or retention of members from designated groups in the workplace.

Yes

Prefer not to disclose

Option to specify:

Question Title

5. Language proficiency in French

	None	Basic	Intermediate	Advanced
Speaking	Speaking None	Speaking Basic	Speaking Intermediate	Speaking Advanced
Reading	Reading None	Reading Basic	Reading Intermediate	Reading Advanced
Writing	Writing None	Writing Basic	Writing Intermediate	Writing Advanced

Question Title

6. If hired when can you begin work?

Date

Question Title

7. Expected Salary
(Please provide the salary range you would expect for this position, including lowest and the highest salary you would expect. Example: 38000)

Lower Limit

Upper Limit

Question Title

8. Education History and Certifications
In the spaces below, please list all secondary and post-secondary institutions attended along with diploma/degree obtained and date completed:

	High school diploma or GED	College diploma	University degree	Master's degree	Other (please specify below)
Education 1	Education 1 High school diploma or GED	Education 1 College diploma	Education 1 University degree	Education 1 Master's degree	Education 1 Other (please specify below)
Please provide name of Institution, diploma/ degree obtained and date completed
Education 2	Education 2 High school diploma or GED	Education 2 College diploma	Education 2 University degree	Education 2 Master's degree	Education 2 Other (please specify below)
Please provide name of Institution, diploma/ degree obtained and date completed
Education 3	Education 3 High school diploma or GED	Education 3 College diploma	Education 3 University degree	Education 3 Master's degree	Education 3 Other (please specify below)
Please provide name of Institution, diploma/ degree obtained and date completed

Question Title

9. Please list any professional licences or certificates obtained (if applicable):
These should be relevant to the position

License / Certificate 1

License / Certificate 2

License / Certificate 3

License / Certificate 4

Question Title

10. Employment History - Company 1
Please list most relevant experience only

Employer

Address

Phone

Supervisor name

Your job title

Responsibilities

Reason for leaving

May we contact this employer? (Yes/No)

Question Title

11. Start and End date with Company 1 (DD/MM/YYYY)
If presently working at this organization, please put today's date as employment end date

Employment start date

Employment end date

Question Title

12. Employment History - Company 2
Please list most relevant experience only

Employer

Address

Phone

Supervisor name

Your job title

Responsibilities

Reason for leaving

May we contact this employer? (Yes/No)

Question Title

13. Start and End date with Company 2 (DD/MM/YYYY)
If presently working at this organization, please put today's date as employment end date

Employment start date

Employment end date

Question Title

14. Employment History - Company 3
Please list most relevant experience only

Employer

Address

Phone

Supervisor name

Your job title

Responsibilities

Reason for leaving

May we contact this employer? (Yes/No)

Question Title

15. Start and End date with Company 3 (DD/MM/YYYY)
If presently working at this organization, please put today's date as employment end date

Employment start date

Employment end date

Question Title

16. Total employment experience in Administration

0 to 6 months experience

6 months to 1 years' experience

1 to 2 years' experience

2 to 5 years' experience

5 to 10 years' experience

10+ years' experience

Other (please specify)

Question Title

17. Computer Proficiency
Please indicate your skill level on the following computer programs:

	None	Beginner	Intermediate	Advanced
MS Word	MS Word None	MS Word Beginner	MS Word Intermediate	MS Word Advanced
MS Excel	MS Excel None	MS Excel Beginner	MS Excel Intermediate	MS Excel Advanced
MS Office Calendar	MS Office Calendar None	MS Office Calendar Beginner	MS Office Calendar Intermediate	MS Office Calendar Advanced
Prolog	Prolog None	Prolog Beginner	Prolog Intermediate	Prolog Advanced
MS Project	MS Project None	MS Project Beginner	MS Project Intermediate	MS Project Advanced
JONAS software	JONAS software None	JONAS software Beginner	JONAS software Intermediate	JONAS software Advanced

Question Title

18. Computer Proficiency
Please indicate how many years of experience you have with the following computer programs:

	None	<1 year	1-2 years	3-4 years	5+ years
MS Word	MS Word None	MS Word <1 year	MS Word 1-2 years	MS Word 3-4 years	MS Word 5+ years
MS Excel	MS Excel None	MS Excel <1 year	MS Excel 1-2 years	MS Excel 3-4 years	MS Excel 5+ years
MS Office Calendar	MS Office Calendar None	MS Office Calendar <1 year	MS Office Calendar 1-2 years	MS Office Calendar 3-4 years	MS Office Calendar 5+ years
Prolog	Prolog None	Prolog <1 year	Prolog 1-2 years	Prolog 3-4 years	Prolog 5+ years
MS Project	MS Project None	MS Project <1 year	MS Project 1-2 years	MS Project 3-4 years	MS Project 5+ years
JONAS software	JONAS software None	JONAS software <1 year	JONAS software 1-2 years	JONAS software 3-4 years	JONAS software 5+ years

Question Title

19. Reference 1
Please list three professional references. Preferably direct supervisors - no customers

First Name

Last Name

Company

Address

Job Title

Phone

How long and in what capacity have you known this person?

Question Title

20. Reference 2

First Name

Last Name

Company

Address

Job Title

Phone

How long and in what capacity have you known this person?

Question Title

21. Reference 3

First Name

Last Name

Company

Address

Job Title

Phone

How long and in what capacity have you known this person?

Question Title

22. I certify that the information provided in this application is true and complete to the best of my knowledge. I also realize that this information may be verified and that any misrepresentation of the facts and any false, misleading, or incomplete information in my application or interview may constitute grounds for immediate dismissal from employment.

Question Title

1. Contact Information

Question Title

2. Employment Data

Question Title

3. Are you looking to work in Nova Scotia, New Brunswick, or Newfoundland?

Question Title

4. Do you self-identify as Aboriginal or as a member of a visible minority?This question is optional, however, complies with the employment equity act in the elimination of discriminatory practices that prevent the entry or retention of members from designated groups in the workplace.

Question Title

5. Language proficiency in French

Question Title

6. If hired when can you begin work?

Question Title

7. Expected Salary (Please provide the salary range you would expect for this position, including lowest and the highest salary you would expect. Example: 38000)

Question Title

8. Education History and CertificationsIn the spaces below, please list all secondary and post-secondary institutions attended along with diploma/degree obtained and date completed:

Question Title

9. Please list any professional licences or certificates obtained (if applicable):These should be relevant to the position

Question Title

10. Employment History - Company 1Please list most relevant experience only

Question Title

11. Start and End date with Company 1 (DD/MM/YYYY)If presently working at this organization, please put today's date as employment end date

Question Title

12. Employment History - Company 2Please list most relevant experience only

Question Title

13. Start and End date with Company 2 (DD/MM/YYYY)If presently working at this organization, please put today's date as employment end date

Question Title

14. Employment History - Company 3Please list most relevant experience only

Question Title

15. Start and End date with Company 3 (DD/MM/YYYY)If presently working at this organization, please put today's date as employment end date

Question Title

16. Total employment experience in Administration

Question Title

17. Computer ProficiencyPlease indicate your skill level on the following computer programs:

Question Title

18. Computer ProficiencyPlease indicate how many years of experience you have with the following computer programs:

Question Title

19. Reference 1Please list three professional references. Preferably direct supervisors - no customers

Question Title

20. Reference 2

Question Title

21. Reference 3

Question Title

4. Do you self-identify as Aboriginal or as a member of a visible minority?
This question is optional, however, complies with the employment equity act in the elimination of discriminatory practices that prevent the entry or retention of members from designated groups in the workplace.

7. Expected Salary
(Please provide the salary range you would expect for this position, including lowest and the highest salary you would expect. Example: 38000)

8. Education History and Certifications
In the spaces below, please list all secondary and post-secondary institutions attended along with diploma/degree obtained and date completed:

9. Please list any professional licences or certificates obtained (if applicable):
These should be relevant to the position

10. Employment History - Company 1
Please list most relevant experience only

11. Start and End date with Company 1 (DD/MM/YYYY)
If presently working at this organization, please put today's date as employment end date

12. Employment History - Company 2
Please list most relevant experience only

13. Start and End date with Company 2 (DD/MM/YYYY)
If presently working at this organization, please put today's date as employment end date

14. Employment History - Company 3
Please list most relevant experience only

15. Start and End date with Company 3 (DD/MM/YYYY)
If presently working at this organization, please put today's date as employment end date

17. Computer Proficiency
Please indicate your skill level on the following computer programs:

18. Computer Proficiency
Please indicate how many years of experience you have with the following computer programs:

19. Reference 1
Please list three professional references. Preferably direct supervisors - no customers