Application – Universal Staffing

Please select the Universal Staffing branch that is located closest to you.

Branch *

Barrie, ON
Brampton, ON
Cambridge, ON
Halifax, NS
Moncton, NB

First Name *

Middle Name

Last Name *

Address *

City/Town *

Province *

Postal Code *

Email *

Home Number

Cell Number *

Education

Highest Level of Education

Grade School
Trade School
College
University
Other

Name of School

Year Completed

Employment History

Company Name

Company Phone Number

Supervisor's Name

Employed From

Employed To

Job Title

Duties

Rate of Pay ($/hr)

Reason for Leaving

Company Name

Job Title

Supervisor's Name

Employed From

Employed To

Company Phone Number

Duties

Rate of Pay ($/hr)

Reason for Leaving

If you have listed previous employment above, do you authorize Universal Staffing to contact your previous employers for the purpose of employment verification and/or conducting a reference? *

YES
NO
Not Applicable

Have you ever been an employee of Universal Staffing? *

Would you be willing to provide Universal Staffing with a Criminal Check? *

Have you ever been convicted of a criminal offence for which a pardon or record suspension has not been granted? *

What is your lifting capability? *

Light: 10-20lbs.
Medium: 20-50lbs.
Heavy: 50-100lbs.

What type of transportation do you use to get to and from work? *

Bus
Get a Ride
Own Vehicle
Other

Do you have any limitations which should be considered when seeking out employment for you? If yes, list here.

General Labour

Assembly
Garbage Pickup
Inventory
Janitorial
Landscaping
Order Picking
Recycle
Shipping & Receiving

Office/Clerical

Reception
Customer Service
Data Entry
Payroll
Collections
Medical
Computer Skills
Banking

Forklift

Cherry Picker
Clamp Truck
Counter Balance
Raymond Reach

Driving

DZ License
AZ License
G License
Other

List any certificates or other skills you may have

Acceptable Starting Rate ($)

Pre-employment Test

Please enter the correct number for the math questions and select the properly spelled word in the list.

80 + 20 - 27 = *

100 ÷ 4 = *

42 x 3 = *

10 + 29 + 22 = *

Spelling test 1 *

occurrence
occerence

Spelling test 2 *

factory
factourie

Spelling test 3 *

fourman
foreman

Spelling test 4 *

asinment
assignment

Please click the WHMIS DOCUMENT link below and read the material document provided and respond to ALL questions to the best of your ability.
Click here to view the WHMIS DOCUMENT

1. What does WHMIS do? *

Establish rules for classifying hazardous products
Requires supplies to attach labels to products
Requires suppliers to provide SDS
All of the above

2. What does GHS stand for? *

Good Health Standards
General Health Signal
Globally Harmonized System
Graphic Honour System

3. Under WHMIS the acronym MSDS means Material Safety Data Sheet, Under GHS what do the letters SDS stand for? *

Safety Data Standards
Storage Department Sheets
Safety Data Sheets
Safety Division Standards

4. What are the two Hazard groups used in WHMIS? *

Physical & Mental
Mental & Health
Health & Physical
Health & Safety

5. What are the “two signal” words used in GHS? *

Danger and Warning
Warning and Harmful
Danger and Caution
Warning and Attention

6. GHS classifies chemical hazards so that the workplace hazard communication is the same worldwide. *

TRUE
FALSE

7. Important information on the hazards, protective measures & safe use of material can be found on the container label. *

TRUE
FALSE

8. The signal for “Warning” means the hazard is “Less Serious” and “Danger” means “More Serious”. *

TRUE
FALSE

Select the appropriate answer for each symbol below.

1. Gas Cylinder

Gas Cylinder *

2. Flames

Flame *

3. Skull and Crossbones

Skull and Crossbones *

4. Exclamation Mark

Exclamation Mark *

5. Biohazard Symbol

Biohazard Infectious Materials *

6. Explosion

Exploding bomb *

7. Corrosion

Corrosion *

8. Health Hazard

Health Hazard *

9. Flame over circle

Flame over circle *

Date / Time

Policy/Procedures Test

Please indicate the correct answer for company policies and procedures

Who is your employer? *

Universal Staffing
The supervisor at your placement

What type of footwear is acceptable? *

Running shoes
Steel toed safety shoes (CSA approved steel toed boots)

Who do you report any workplace injury or illness to? *

Your friends
Your branch office and the supervisor at your placement

If you are injured at work and require modified duties you may be asked to *

Stay at home until you are contacted
Report to your branch office to perform light duties

If you are unable to report to work you must *

Call Universal Staffing as soon as possible before your shift
Tell your supervisor the day after you return

If you are asked to do a job that you feel may be unsafe you must *

Call Universal Staffing and inform your supervisor
Leave the workplace immediately

Please read the following and sign below to acknowledge acceptance and understanding of all conditions of registration.

I grant permission to Universal Staffing Inc. to use this information to their discretion and contact the reference person I provided.
I understand this form is only a registration with Universal Staffing and on completion of my first day worked I will then become an employee accordingly.
I understand in order to gain and maintain my employment status with Universal Staffing Inc. I am responsible for weekly contact with my Staffing Consultant.
I understand I may be not be suitable for certain assignments and if employed I must agree to follow policies, procedures and follow all direction accordingly.
I understand that I am responsible to providing Universal Staffing with any information if any changes occur before or after an offer of employment.

Upload related files (ie. resume, CVOR, Drivers abstract)

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Please sign below *

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