Amazon Job Application (1) Canada

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AMAZON CANADA

SAMPLE JOB APPLICATION


Office 877-586-3230
PLEASE NOTE: It is important that you complete all parts of the application.  If your application is incomplete or does 
not clearly show the experience and/or training required, your application may not be accepted.  If you have no information 
to enter in a section, please write N/A.

Name and Address
Name (First, MI, Last) Social Security Number
SIN #

Mailing Address

City, State, and Zip Code
Full Address / Postal Code / Province

Telephone Alternate Phone

If under 18, please list age Email
Date Of Birth

Job Type
Days/hours available to work
† I have no  † Mon. † Tues. † Wed. † Thurs. † Fri. † Sat. † Sun.
preference.
I am seeking a: † Full‐time job † Part‐time job † Full‐ or Part‐time
How many hours can you work weekly? Can you work nights? Date available to begin

Additional Information
Have you ever been employed by this organization in the past? † Yes † No
I certify that I am a U.S. citizen, permanent resident, or a foreign national with 
CA † Yes † No
authorization to work in the United States.
CANADA
Have you ever been convicted of, or entered a plea of guilty, no contest, or had a  † Yes † No
withheld judgment to a felony?
If Yes, please explain:

Do you have a driverʹs license?     † Yes        † No Driverʹs license number Issued in what state?

Have you had any accidents during the past three years? How many?

Have you had any moving violations during the past three years? How many?

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Education
Years  Degree or 
School Location (mailing address) Major
Completed Diploma
High School

College or Business/Trade School

Military
Have you even been in the Armed Forces? † Yes † No Date entered

Are you now a member of the National Guard? † Yes † No Discharge date

Specialty

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Work Experience
Please list ALL work experience beginning with your most recent job held.  Attach additional sheets if necessary.
Company Name of last supervisor Hrs/week

Address Start Date Starting Salary

City, State, and Zip Code End Date Final Salary

Phone number Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked 
at this company.

May we contact this employer?        † Yes          † No
Company Name of last supervisor Hrs/week

Address Start Date Starting Salary

City, State, and Zip Code End Date Final Salary

Phone number Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked 
at this company.

May we contact this employer?        † Yes          † No

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Work Experience (continued)
Company Name of last supervisor Hrs/week

Address Start Date Starting Salary

City, State, and Zip Code End Date Final Salary

Phone number Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked 
at this company.

May we contact this employer?        † Yes          † No
References
Please include name, phone number, and circumstances of your acquaintance.  Exclude relatives and former employers.
1.

2.

3.

4.

I certify that all answers and statements on this application are true and complete to the best of my 
knowledge.  I understand that, should this application contain any false or misleading information, my 
application may be rejected or my employment with this company terminated.
Signature Date

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