| Contact Information |
| Full Name* |
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| Address* |
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| City* |
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| Province* |
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| Postal Code* |
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| Day Phone* |
Ext. |
| Evening Phone* |
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| Best Phone Number to Call* |
Day Phone
Evening Phone |
| Your e-mail address* |
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| Profile Questions |
| How did you first hear about us? |
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| Tell us a little about what you do now (Approx. 100 words) |
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| Why did you/are you leaving your current position? |
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| Where do you see yourself in two years from now? |
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| What makes a good team member? |
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| Why do you want to work for Refined? |
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| What is your expected salary? |
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| Availability |
| Total hours available per week? |
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| What days are you available? |
Mon Tue Wed Thu Fri |
| Do you have a valid driver's license? |
Yes No |
| Do you have any specific questions? |
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