York University NON-ACADEMIC APPLICATION FORM

Department of !man Reso!r"es

The Application Form requires Microsoft Word (.doc) or Adobe (.pdf).
Your Application Package should consist of this application form, a current resume, and covering letter. Your resume
should clearly reflect how you meet the posted qualifications. A separate application package is required for each position
you are applying for.
P#ease Note$ A## app#i"ations m!st %e re"eive& %y '$() p*m* on t+e poste& &ea&#ine &ate*
Posting Number:

Position Applied or:

Personal !ata
"urname:

irst Name:

Address:

Apartment:

#ity:

Province:

#ountry:

Postal #ode:

$ome Phone:

#ell Phone %optional&:

'(mail:

)nternal Applicants
'mployee )!:

#urrent !epartment:

#ampus Address:

'*tension:

Affiliation+'mployee ,roup:
Y-"A Y-"A(. #P/ )-0'
#-P' 1234 #-P' 1234(1 #-P' 1234(. #-P' 2562 %units 1,.,2&
Y-A 0P"'- 0ther:
'*ternal Applicants 0nly
Are you 17 years of age or older8
Yes No
Are you legally entitled to work in #anada %#anadian
#iti9en or Permanent :esident&8 Yes No
$ave you been employed by York -niversity before8
Yes No )f yes, !ates:
$ow did you hear about this position8
York ;ebsite Newspaper+Publication
)nternet+<ob =oards 0ther:
Are you an )nternational "tudent8 Yes No
$ave you previously been employed at York -niversity through an e*ternal staffing agency8
Yes No )f yes, please provide the agency name and dates employed:
Emp#oyment E,!ity -"omp#etion of t+is se"tion is vo#!ntary.$
York -niversity is committed to achieve and maintain a fair and representative workforce. ;e have initiated measures to
ensure full participation of all groups protected under human rights legislation, in particular, those which traditionally have
been under(represented. ;e encourage you to self identify by checking the appropriate bo*%es&:
Aboriginal People Persons with !isabilities ;omen >isible /inorities
Applicant Agreement
) accept the -niversity?s right to collect pertinent personal information. ) declare that the information ) have provided in this
application is true, complete and accurate in all respects, and that all available information requested in this application
has been disclosed. All information ) have provided in connection with this application is sub@ect to verification and audit by
York -niversity. ) understand and acknowledge that the information is collected and used to establish my employee record
for the purpose of administering Payroll, =enefits, and Pensions, and is used by the -niversity in the academic and
financial administration of its affairs, and to achieve compliance with its collective agreements and legislative obligations.
Yes No
)f you are unable to send applications by e(mail, you may apply by fa* to A14(B24(3344 0: drop off your application
package to $uman :esources, Cinsmen =uilding, AB66 Ceele "treet, /onday to riday, 7:26am to A:26pm.
/insmen 0!i#&in1 2 '3)) /ee#e 4treet 2 Toronto5 ON 2 M(6 7P( 2 te#$ '78-3(8-9))9 2 fa:$ '78-3(8-9988
PLEA4E NOTE$ T+e preferre& met+o& for
s!%mittin1 app#i"ation pa"ka1es is %y e-
mai# to$ ;o%s<york!*"a*