Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I confirm that I am at least 18 years old? *

Yes, I am at least 18 years old

Do you hold a valid drivers licence? *

Yes

No

Do you require glasses for driving? *

Yes

No

Skills

To be completed for all plant/mechanic/truck positions

Backhoe

Excavator

Forklift

Grader

Loader

Other

All applications received will be held confidentially on file for six (6) months from the date of receipt. After that time your application will be shredded. I certify that the information provided in this application and in any attached pages is accurate and truthful. I consent to Tegra verifying all information provided herein. Verifications may include obtaining information from third parties, previous employers or supervisors and criminal conviction record check. I hereby release Tegra from any claims or causes of action that I may now or hereafter have, including, but not limited to, claims based on privacy, confidentiality or defamation as a result of its verification of any information contained herein or submitted herewith.

I agree to the above statements