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Page 1 of 2 APPLICATION FOR EMPLOYMENT SECTION A - APPLICANT INFORMATION Great Canadian is an equal opportunity employer. Employment conditional upon a general security clearance. LAST NAME FIRST NAME MIDDLE NAME RESIDENTIAL ADDRESS (Street Number & Name) CITY PROVINCE POSTAL CODE MAILING ADDRESS (If different from above) CITY PROVINCE POSTAL CODE TELEPHONE NUMBER ALTERNATE NUMBER EMAIL ADDRESS SECTION B – GENERAL INFORMATION Attach a copy of your resume, if available Resume Attached Yes No POSITION APPLIED FOR COMPETITION NUMBER (If applicable) Part-time Full-time On-call Casual Contract POSITION _____________________________________________________________________ ARE YOU LEGALLY ENTITLED TO WORK IN CANADA? YES NO ARE YOU AVAILABLE TO WORK IMMEDIATELY? YES NO (If no, provide earliest date you can begin work) _________________________________________ ARE YOU ABLE TO WORK ANY SHIFT? (Including weekends, holidays and overtime) AM PM GRAVEYARD ALL ARE YOU BONDABLE? YES NO HAVE YOU EVER BEEN EMPLOYED BY GREAT CANADIAN? Or its subsidiaries and affiliates (including any limited partnership that the Corporation has a management services agreement with) YES NO REFERRAL SOURCE (How did you hear about us?) ____________________________________________________ LANGUAGE(S) SKILLS: LANGUAGE 1 READ WRITE SPEAK LANGUAGE 2 READ WRITE SPEAK LANGUAGE 3 READ WRITE SPEAK SECTION C – EDUCATION List schools in order from the most recent. Transcript(s) may be requested at a future date HIGHEST LEVEL COMPLETED: HIGHSCHOOL 10 11 12 POST-SECONDARY (# YEARS) 1 2 3 4 4+ LEVEL: Certificate Diploma Degree Doctorate OTHER EDUCATIONAL/VOCATIONAL/TECHNICAL INSTITUTE 1 2 3 4 4+ NAME OF SCHOOL ADDRESS DEGREE ATTAINED NAME OF SCHOOL ADDRESS DEGREE ATTAINED SECTION D – OTHER TRADE QUALIFICATIONS List other certifications (Occupational First Aid etc.), licenses, job-related training, relevant skills, accomplishments, awards, accolades, etc. DISCIPLINE __________________ DISCIPLINE __________________

APPLICATION FOR EMPLOYMENT...List other certifications (Occupational First Aid etc.), licenses, job-related training, relevant skills, accomplishments, awards, accolades, etc. DISCIPLINE

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Page 1: APPLICATION FOR EMPLOYMENT...List other certifications (Occupational First Aid etc.), licenses, job-related training, relevant skills, accomplishments, awards, accolades, etc. DISCIPLINE

Page 1 of 2

APPLICATION FOR EMPLOYMENT

SECTION A - APPLICANT INFORMATION Great Canadian is an equal opportunity employer. Employment conditional upon a general security clearance.

LAST NAME FIRST NAME MIDDLE NAME

RESIDENTIAL ADDRESS (Street Number & Name) CITY PROVINCE POSTAL CODE

MAILING ADDRESS (If different from above) CITY PROVINCE POSTAL CODE

TELEPHONE NUMBER ALTERNATE NUMBER EMAIL ADDRESS

SECTION B – GENERAL INFORMATION Attach a copy of your resume, if available Resume Attached ☐ Yes ☐ No

POSITION APPLIED FOR COMPETITION NUMBER (If applicable)

☐ Part-time☐ Full-time

☐ On-call Casual ☐ Contract POSITION _____________________________________________________________________

ARE YOU LEGALLY ENTITLED TO WORK IN CANADA? ☐ YES ☐ NO

ARE YOU AVAILABLE TO WORK IMMEDIATELY? ☐ YES ☐ NO(If no, provide earliest date you can begin work)_________________________________________

ARE YOU ABLE TO WORK ANY SHIFT? (Including weekends, holidays and overtime)

☐ AM ☐ PM ☐ GRAVEYARD ☐ ALL

ARE YOU BONDABLE? ☐ YES ☐ NO

HAVE YOU EVER BEEN EMPLOYED BY GREAT CANADIAN? Or its subsidiaries and affiliates (including any limited partnership that the Corporation has a management services agreement with)

☐ YES ☐ NO

REFERRAL SOURCE (How did you hear about us?) ____________________________________________________

LANGUAGE(S) SKILLS:

LANGUAGE 1 ☐ READ ☐WRITE ☐ SPEAK

LANGUAGE 2 ☐ READ ☐WRITE ☐ SPEAK

LANGUAGE 3 ☐ READ ☐WRITE ☐ SPEAK

SECTION C – EDUCATION List schools in order from the most recent. Transcript(s) may be requested at a future date

HIGHEST LEVEL COMPLETED:

HIGHSCHOOL ☐ 10 ☐ 11 ☐12

POST-SECONDARY (# YEARS) ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 4+

LEVEL: ☐ Certificate ☐ Diploma ☐ Degree ☐ Doctorate

OTHER EDUCATIONAL/VOCATIONAL/TECHNICAL INSTITUTE ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 4+

NAME OF SCHOOL ADDRESS DEGREE ATTAINED

NAME OF SCHOOL ADDRESS DEGREE ATTAINED

SECTION D – OTHER TRADE QUALIFICATIONS List other certifications (Occupational First Aid etc.), licenses, job-related training, relevant skills, accomplishments, awards, accolades, etc.

DISCIPLINE __________________DISCIPLINE __________________

Page 2: APPLICATION FOR EMPLOYMENT...List other certifications (Occupational First Aid etc.), licenses, job-related training, relevant skills, accomplishments, awards, accolades, etc. DISCIPLINE

Page 2 of 2

APPLICATION FOR EMPLOYMENT

SECTION E –WORK EXPERIENCE List and provide complete information on all work experience or attach resume

EMPLOYER (Name, Address & Telephone Number) FROM (MM/YY) TO (MM/YY) HOURS PER WEEK

JOB TITLE SALARY/WAGE

SUPERVISOR (Name & Title) REASON FOR LEAVING MAY WE CONTACT?

DESCRIBE PRIMARY DUTIES AND ACCOMPLISHMENTS

EMPLOYER (Name, Address & Telephone Number) FROM (MM/YY) TO (MM/YY) HOURS PER WEEK

JOB TITLE SALARY/WAGE

SUPERVISOR (Name & Title) REASON FOR LEAVING MAY WE CONTACT?

DESCRIBE PRIMARY DUTIES AND ACCOMPLISHMENTS

EMPLOYER (Name, Address & Telephone Number) FROM (MM/YY) TO (MM/YY) HOURS PER WEEK

JOB TITLE SALARY/WAGE

SUPERVISOR (Name & Title) REASON FOR LEAVING MAY WE CONTACT?

DESCRIBE PRIMARY DUTIES AND ACCOMPLISHMENTS

EMPLOYER (Name, Address & Telephone Number) FROM (MM/YY) TO (MM/YY) HOURS PER WEEK

JOB TITLE SALARY/WAGE

SUPERVISOR (Name & Title) REASON FOR LEAVING MAY WE CONTACT?

DESCRIBE PRIMARY DUTIES AND ACCOMPLISHMENTS

SECTION F – CERTIFICATION AND AGREEMENTPlease read the following applicant certification and agreement before signing

I certify that the information given in this application, my resume, covering letter and all other documentation submitted to Great Canadian Gaming Corporation, its subsidiaries and affiliates (including any limited partnership that the Corporation has a management services agreement with) (together, "GCGC") is true and complete to the best of my knowledge. I consent to providing personal information to GCGC for the purposes relating to establishing an employment relationship. I also consent to GCGC investigating my employment, education records, references and I will participate in any testing that may be required. GCGC operates in accordance with, and expects its employees to abide by, all applicable laws, regulations, requirements, recommendations, guidelines, standards and orders of federal, provincial, municipal governments and government agencies. If I am offered and accept employment, I agree to comply with a request for a criminal record and credit check application and consent to GCGC or their assigned third party undertaking all criminal record searches, credit checks and other verification inquiries deemed necessary to ensure my employability. If required for the purposes of assessing medical fitness for the position accepted, I consent to submit to a medical examination and I understand that any job offer by GCGC is conditional upon my passing said medical examination. I understand and agree that if I am employed by GCGC, false or incomplete statements on this application and submitted documentation will be just cause for summary dismissal without notice or pay in lieu.

SIGNATURE OF APPLICANT _____________________________________ DATE ______________________________