Are you legally entitled to work in Canada? Yes     No

Have you travelled outside Canada in the past 14 days? Yes     No

Are you feeling sick? (Examples include a new cough, headache, weakness, fever, difficulty breathing, etc.) Yes     No

Did you provide care or have close contact with a person with COVID-19 (probable or confirmed) while they were ill and you did not have appropriate PPE? Yes     No

Will Accept: Part-Time     Full-Time     Temporary

Shift: 1st     2nd     3rd     Rotating

High School Graduate Or General Education (GED) Test Passed? Yes     No

What type of transportation do you use? Car     Bus

I agree that by submitting this application, I am electronically signing this application.

By submitting this application I agree that I will conform my conduct to Opulence Staffing Solutions Inc’s rules. I agree that I will not accept a position as an employee, subcontractor, consultant, or likes of with any company that Opulence Staffing Solutions Inc has assigned me to interview at or work with, without Opulence Staffing Solutions Inc having presented written approval.