Please complete the following information that is applicable for the position(s) you are applying for. Email the completed application form along with your Cover Letter and Resume to:

AlberniValley Employment Centre

Attention:Melissa Williamson

Port Alberni, BC

(When sending an application electronically please ensure your resume and application file labels include YOUR NAME.)

The personal information requested herein is collected under the authority of the Freedom of Information and Protection of Privacy Act for the purpose of considering your application for employment.

Position(s) Applying for:

Name:Email:

Address:

Phone: Fax:

Recent Work History: (Please list the last 3 positions)

Company / Title / Responsibilities / Start Date / End Date / Reason for Leaving

Education: (Please list all programs or courses.)

Degree/Program / School and Location / Year Completed

Skills and Experience: (Please check all skills that you have performed in a work environment.)

 / Client Service Skills / Years of Exp.
Administer and Interpret Assessments
Career Decision Counselling
Provision of Labour Market Information
Job Search Assistance
Return to Work Action Planning
Training Plan Development
Financial Support Negotiations
Life Skills Counselling/Training
Job Coaching
Work Placements
Report Writing
Liaising with Employer Community
Labour Market Research and Analysis
/  / Facilitation Skills / Years of Exp.
Delivery of Workshops
Development of Workshop Curriculum
Prepare and deliver a PowerPoint presentation
What workshop topics have you delivered?

Please check the client groups you have worked with:

 EI Eligible  Income Assistance  Disabilities  Older Workers  Aboriginal  Immigrants  Youth

Vocational Assessment Tools
(Please list the assessment tools you are qualified to deliver) / Certification Obtained (Date)
 / Essential Skills and Experience / Years
of Exp. / Please check the skills and explain how you have obtained experience.
Effective verbal and written communication skills.
Broad knowledge of community services.
Assessment, analysis, evaluation and appropriate service planning.
Critical, objective analysis of client financial abilities and needs.
Strict adherence to the principles of client confidentiality.
Work as a productive member of a team.
 / Computer Skills / Levels of Ability
(expert, intermediate, basic) / Please explain the working level and version.
Word
Excel
Keyboard Skills
Client Tracking Data Base
Website Development
Website Maintenance
Application Troubleshooting
Hardware Maintenance/Troubleshooting
Computer Skills Training
Other:
 / Administrative Skills (check all that apply) / Years of Experience /  / Accounting Skills (check all that apply) / Years of Experience
Reception / Accounts Payable
Customer Service / Accounts Receivable
File Management (Physical) / Budget Monitoring/Reporting
File Management (Computer) / Cash Flow Management
Data Entry / Bank Reconciliation
Document Production / GST/HST Calculation
Information Library Maintenance / WCB Calculation
Facility Management / Payroll Processing
Advertising/Marketing / CCRA Reporting
Office Supply Purchases / Contract Management
Debt Recovery
List Office Equipment you can troubleshoot & maintain: / List Computerized Systems used:

References (Please provide two references that can verify your employment experience.) PLEASE ENSURE THAT THESE ARE WORK RELATED REFERENCES AND WE WOULD PREFER THEM TO BE FROM A MANAGER OR SUPERVISOR.

Name / Company / Phone Number / Email Address

I give permission for Island Work Transitions, Inc. to contact any references or prior employers given in conjunction with this application to secure information relevant to my application.

I certify that the information provided in this application or attached resume is true and complete. I understand that if any information in this application is found to be untrue or incomplete, my application may be rejected or I may be dismissed in the event that I am the successful applicant.

I agree to undergo a Criminal Records Check and a Security Screening which is required as a condition of employment.  Yes  No

Signature (if applying electronically, please type your name as authorization.)Date