Form Builder

Home/Municipal Services

Required fields are marked with asterisks (*)

Application Form: Customer Service Representative (14 Month Contract)

Thank you for your interest in employment with The Corporation of the Municipality of Leamington.

Please fill out this form to submit your application.

Last Name

First Name

Address (Street address, Box number, Apt #, City/Town. Province, Postal Code)

Phone Number

Email Address

Please upload your Cover Letter

Browse…

Allowed extensions pdf, jpeg, png

Please upload your Resume

Browse…

Allowed extensions pdf, jpeg, png

Please upload any additional documents

Browse…

Allowed extensions pdf, jpeg, png

I understand the Municipality has a police clearance policy, that requires me to submit a satisfactory police clearance upon hire, at my own expense. (Please do not obtain a police clearance prior to request).

No, I don't understand.

Yes, I understand.

I understand that this position may require me to submit a satisfactory Driver's Abstract upon hire, at my own expense. (Please do not obtain a Driver's Abstract prior to request).

No, I don't understand.

Yes, I understand.

By checking the box below I am confirming all information and attachments provided in my application are true and accurate.

I confirm all information provided is true and accurate.

Date (mm/dd/yyyy)

Contact(s)

Form Builder

Application Form: Customer Service Representative (14 Month Contract)

Thank you for your interest in employment with The Corporation of the Municipality of Leamington.

Please fill out this form to submit your application.

I'd Like To...

Register

Apply

Pay For

Contact

Review