Registration Form: Employer

Retiree employment agency

In partnership with Working NB, we connect retirees with employers.

Jonathan Roy

Pairing Agent

placement@chaleurchamber.ca
(506) 655-9151

Registration Form: Employer

The Retiree Employment Agency helps connect employers with retirees for short-term employment opportunities
(less than 52 consecutive weeks).

To facilitate the process, please complete this form. All collected information will remain confidential.

1. EMPLOYER INFORMATION

Legal Business Name: *

Industry: *

Layout

Address: *

City: *

Province: *

Postal code: *

New Brunswick (Corporate Affairs Registry):

Canada Revenue Agency:

Exemple: xxxxxxxxxRPxxxx

Name of Employer/Owner:

Name of employer/Owner: *

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Telephone (at work): *

Email: *

Cell Phone:

Fax:

Preferred Language of Communication:

English
French
Both

Contact Name (If Applicable) :

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Telephone (at work):

Email:

Cell Phone:

Fax:

Preferred Language of Communication:

English
French
Both

2. ESSENTIAL DOCUMENTS AND JOB REQUIREMENTS

Resume? *

Yes
No

Criminal Record Check? *

Yes
No

Completed Employment Application Form? *

Yes
No

Other:

3.1 INFORMATION ON THE FIRST AVAILABLE JOB

Is the position unionized? *

Yes
No

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Job Title:

Start date:

Daily Hours of Work:

Place of work:

End date:

Weekly Hours of Work:

Language at Work:

English
French
Both

Proposed Hourly Wage (Optional):

Employment Status (Hours/Week)

Full-time (25 hours and more)
Part-time (less than 25 hours)

Check Work Schedule Requested.

Please enter a job description

3.2 (OPTIONNAL) INFORMATION ON THE SECOND AVAILABLE JOB

Layout Job 2

Job Title:

Start date:

Daily Hours of Work:

Place of work:

End date:

Weekly Hours of Work:

Language at Work:

English
French
Both

Proposed Hourly Wage (Optional):

Employment Status (Hours/Week)

Full-time (25 hours and more)
Part-time (less than 25 hours)

Check Work Schedule Requested.

Please enter a job description

4. COVID-19

Do you have a COVID-19 operational plan as per Public Health and WorkSafeNB guidelines? *

Yes
No

Do you have the appropriate measures in place? *

Yes
No

Retiree employment agency