Registration form: Retiree - Chaleur Chamber of Commerce

Retiree employment agency

Registration form:

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

Jonathan Roy

Pairing Agent

placement@chaleurchamber.ca
(506) 655-9151

Are you over 50, retired and thinking of going back to work?

The Retiree employment agency connects retirees with short-term job opportunities
(less than 52 consecutive weeks).

Your age *

50-59
60-69
70-79
80 and over

*For statistical purposes only

1. PERSONAL INFORMATION

First name *

Middle name

Last name *

Mailing address *

Apartment

City *

Telephone (home)

Province *

Cell phone

Postal code *

Email *

Date of birth *

Gender:

Male
Female
Other
Prefer not to answer

*For statistical purposes only

Spoken language(s) *

English
French
Other

*For statistical purposes only

Written languages(s) *

English
French
Other

*For statistical purposes only

2. PERSONAL INTERESTS

3. AVAILABILITY

Desired employment status (Hours/Week)

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

Any period(s) during which you would be unavailable for work?

Yes
No

When can you start working? *

Please indicate your availability for each day of the week.

4. PLACE OF WORK

Do you have transportation? *

Yes
No

Please indicate in which specific region(s) you would prefer working: *

5. RESUME

Do you have an updated resume? *

Yes
No

6. WORKSHOPS

Would you be interested in attending a workshop? *

Yes
No

7. ADDITIONAL INFORMATION

Please answer the following only if you are not a permanent resident of Canada.

Do you have a work permit?

Yes
No

Retiree employment agency