Scaffoldtech
Employee Form
Contact Info
First name
Last name
Address (# and street, Apartment #)
*City, Province, Postal Code
Email
Phone number
Work Info
CCQ Quebec Card
Yes
No
Union
Yes
No
If yes, please specify which ones
Trade
Scaffolder
Apprentice
1
2
3
4
Journeyman
Labour
Date of Birth
Social Insurance
Spoken language
English
French
Others
Do you have a security clearance?
No
Reliability
Site Access
Secret Level II
Emergency
1. *Contact person, in case of emergency / Parental Link
Phone number
2. Contact person, in case of emergency / Parental Link
Phone number
Experience
Years of experience in scaffolding
Hours of experience in scaffolding
Experience in mines
Yes
No
Industrial experience
Yes
No
Have you ever had an accident or are you suffering from an illness that could cause certain risks at work?
Yes
No
If yes, please specify:
Uploads
Include a check specimen (Attach PDF or JPG)
Acceptance of our policies
I agree
to have a trial period of two weeks or 80 hours. Scaffoldtech may terminate my employment at any time during this trial period.
I have read
, accept, and agree to respect workplace safety and policy, workers' rights and responsibilities, PPE, emergency response plan and emergency response procedure in the Scaffoldtech Health & Safety Manual.
I have read
, accept, and agree to abide by Scaffoldtech Policy for the Prevention of Psychological or Sexual Harassment on the Workplace.
I provide
my construction boots, clothing according to weather and my hand tools.
When I leave my job, I return the equipment loaned by Scaffoldtech (Helmet and Harness) .
Signature
Employee Signature
Date
Message
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.