Full Name
*
Email
*
Phone
*
Address
*
City
*
Province
*
Age Range
*
Select Age Range
55-60
60-65
65-70
70-75
75-80
80+
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Are you retired?
*
Yes
No
Soon
If Yes, name of company retired from:
Do you recommend we contact previous employer?
*
Yes
No
Fast-Track Program? Select "Yes" if you've already discussed returning to your current employer and they have agreed to it.
*
Yes
No
Start Date of Availability:
*
End Date of Availability:
*
Amount of Hours Required:
*
Full Time
Part Time
Seasonal
If Part-Time, # of hours/week desired?
Hourly Wage Expectation?
*
Would you work for the same company you retired from again?
*
Yes
No
Previous Industry/Field?
*
Accounting
Banking
Business
Communications
Construction
Design
Education
Engineering
HR
IT
Manufacturing - Maintenance
Manufacturing - Operations
Marketing
Other (Please Expand)
Sales
Social Sciences
Sports/Athletics
Trades (Please Expand)
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If Trades/Other, Please Expand:
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