YUTA Application
YUTA Application
Personal Data
Surname: First Name:
Lam David
Address: Apartment:
5 Lakewoods Street
City: Province: Country: Postal Code:
Richmond Hill Ontario Canada L4E0B5
Home Phone: Cell Phone:
9053982868 6478863468
Email: Date of Application:
[email protected]
Are you 18 years of age or older? Have you been employed by York University before?
Have you previously been employed at York University through an external staffing agency?
Yes ✔ No If yes, please provide the agency name and dates employed:
Are you legally entitled to work in Canada (Canadian Available start date:
Citizen or Permanent Resident)? ✔ Yes No
General (please check all that apply)
Days available:
✔ All Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Hours of availability:
✔ Full-time hours ✔ Part-time hours ✔ Daytime hours ✔ Afternoons ✔ Evenings
Location availability:
✔ Keele Campus ✔ Glendon College (Bayview & Lawrence) PDP (1 Dundas St. West) Nadal (222 Bay St.)
Employment Category:
✔ Jr. Clerical ✔ Clerical ✔ Customer Service ✔ Reception ✔ Data Entry ✔ Administrative ✔ Technical
Business Type:
Position Held:
Business Type:
Position Held:
Business Type:
Position Held:
Are you currently a York University student? Yes ✔ No Are you an International Student? Yes ✔ No
York University is committed to achieve and maintain a fair and representative workforce. We have initiated measures to
ensure full participation of all groups protected under human rights legislation, in particular, those which traditionally have
been under-represented. We encourage you to self identify by checking the appropriate box(es):
Applicant Agreement
I certify that the statements made by me in this application and in my resume are true, and understand that any false or
misleading information given by me on this form(s) may be sufficient cause for rejection of my application or dismissal
after employment.
Applicant Signature: Date:
Please attach a resume and covering letter to the application. Applications and resumes will be kept on file for three
months.