APPLICATION FOR SWINE TECHNICIANS

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 PERSONAL INFORMATION DATE AVAILABLE: ________________
FIRST NAME LAST NAME PHONE
MARL LOUIE SEMINIANO +639197646016
ADDRESS: NO & STREET CITY PROVINCE POSTAL CODE
453 JOKERS ST., POBLACION, SAN ANTONIO, QUEZON 4324

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 GENERAL INFORMATION YES NO DETAILS

ARE YOU A PERMANENT RESIDENT/CITIZEN OF CANADA? /

DO YOU HAVE AN OPEN WORK PERMIT FOR CANADA? /
HAVE YOU REACHED THE AGE OF MAJORITY (18 YEARS OLD)? /
HAVE YOU PREVIOUSLY WORKED FOR HYLIFE? /
HAVE YOU EVER WORKED IN A HOG BARN? /
DO YOU KNOW ANYONE WORKING FOR THIS ORGANIZATION? /

LOCATIONS IN OUR OPERATIONS MAY EXPOSE YOU TO A NUMBER OF CONDITIONS. DO

YOU HAVE A PROBLEM WITH ANY OF THE FOLLOWING?
 Exposure to animals, noise, odors /

Commute to and from location of work:

 Do you possess a valid driver’s license to drive a car? / WILLING
TO
LEARN
 Do you have experience driving a car? /

EMPLOYMENT HISTORY
START DATE END DATE EMPLOYER NAME / TYPE OF REASON FOR LEAVING
PHONE WORK
PERFORMED

EDUCATION (CIRCLE LAST GRADE/LEVEL COMPLETED)

ELEMENTARY HIGH SCHOOL UNIVERSITY
[1 2 3 4 5 6 ][ 7 8 9 10 11 12 ][ 1 2 3 4 M ASTERS PH. D. ][TRADES 1 2 3
4 RED SEAL]
LIST DEGREES/DIPLOMAS/TICKETS:
BACHELOR OF AGRICULTURAL TECHNOLOGY

SAFETY
DID YOU EVER HAVE AN ACCIDENT/INJURY/ILLNESS ON THE JOB? NONE
EXPLAIN:
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 DO YOU HAVE A DISABILITY WHICH WOULD PREVENT YOU FROM WORKING IN A HOG BARN ENVIRONMENT?
EXPLAIN:
NONE

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 FOREIGN APPLICANTS

1. Have you ever been convicted of a crime or offence?

NONE
2. Have you ever been or currently charged with any criminal offences (including any dropped charges)?
NONE
3. Have you been subject of any criminal proceedings / complaint, or have been detained or put
in jail for any reason?

Comments: NO

4. Have you ever been refused refugee status, an immigrant or permanent resident visa, or
application to the Provincial Nominee Program, or visitor or temporary resident visa, to
Canada or any other country?

Comments: NO

5. Have you ever been refused admission to, or ordered to leave, Canada or any other country?

Comments: NO

6. Have you ever been treated for any serious physical or mental disorders or any communicable
or chronic diseases?

Comments: NO

7. Are you presently taking medication(s)? If so, please set out each medication and the purpose
for taking same below.

Comments: NONE

IMPORTANT: PLEASE READ CAREFULLY

IF ACCEPTED FOR EMPLOYMENT BY HYLIFELTD.I UNDERSTAND AND AGREE THAT:
1. ANY MISREPRESENTATION OR OMISSION IN MY APPLICATION SHALL CONSTITUTE SUFFICIENT CAUSE FOR TERMINATION OF EMPLOYMENT.
2. I WILL PARTICIPATE IN ALL COMPANY BENEFIT PLANS AS SOON AS I QUALIFY IN ACCORDANCE WITH THE POLICY OF THE COMPANY.
3. MY FORMER EMPLOYERS, WITHOUT LIABILITY ON THEIR PART, MAY MAKE FULL DISCLOSURE OF ALL FACTS, SUCH DISCLOSURE BEING FULLY
AUTHORIZED.
4. UNTIL I HAVE WORKED NINETY (120) WORKING DAYS, I WILL REMAIN ON PROBATION. DURING SUCH PROBATIONARY PERIOD, EITHER THE
EMPLOYER OR I MAY TERMINATED THE EMPLOYMENT RELATIONSHIP WITHOUT NOTICE OR PAY IN LIEU THEREOF.
5. I WILL PROVIDE ANY AND ALL INFORMATION REQUIRED BY THE COMPANY SO THAT THEY MAY COMPLY WITH ANY LAWS UNDER WHICH THEY
ARE GOVERNED. AND

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 6. THE COMPANY MAY UTILIZE MY SOCIAL INSURANCE NUMBER FOR PURPOSES OF IDENTIFICATION FOR ALL BENEFIT PLANS HELD BY THE
COMPANY.
IN ADDITION: I DECLARE THAT AS FAR AS KNOWN TO MYSELF THE ABOVE STATEMENTS ARE TRUE AND CORRECT AND THAT ANY RESUME
PROVIDED BY ME, TO THE COMPANY IS ALSO CORRECT AND, SHALL BE ATTACHED HERETO AND BECOME PART OF THIS APPLICATION FORM.

SIGNED THIS 29TH DAY OF SEPTEMBER IN THE CITY/TOWN OF SAN ANTONIO, QUEZON.

PRINT NAME: MARL LOUIE G. SEMINIANO SIGNATURE: ___________________________________

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