The Royal Montreal Regiment

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Online Application
Welcome to the RMR's Online Application area. If you cannot fill out everything, or do not know what to enter, leave the field(s) blank. You will have the opportunity to make corrections and confirm your information once we contact you.

Read the Instructions and Legal Information
PART A - Personal Information

1. Name and address

Last Name :
All Given Names :
Home Phone:
Work Phone
Cell Phone:
Date of Birth (DD/MM/YYYY):
Place of Birth:
Mailing Address:
Email Address:
City:
Province:
Postal Code:
Call at work?:	Yes: ----- No:

2. Official Language:

To which official language do you have a primary personal identification?	English: ----- Francais:
Which official Language do you which to use in:
Correspondence:	English: ----- Francais:
During an interview:	English: ----- Francais:
For a written exam:	English: ----- Francais:

3. Citizenship

Are you a Canadian citizen?
Yes:
No:

Have you resided in Canada continuously for the past ten years?
Yes:
No:

4. Criminal offences

Have you ever been found guilty of an offence under the Young Offenders Act or Youth Criminal Justice Act for which disposition is still in effect?
Yes:
No:

Have you ever been found guilty under any other Act for which you were convicted and for which no pardon has been granted?
Yes:
No:

PART B - Employment Interest:

Trade:	Infantry: ----- Resource Management Clerk:
Non-commissioned Member or officer? (Only applicable to infantry trade):	NCM: ----- Officer:
Entry Plan (Officers Only):

Have you ever applied or do you currently have an outstanding application for enrolment into any component of the Canadian Forces?
Yes:
No:
If yes, please specify location:

PART C - Previous Canadian Forces Service and Cadet Experience

If applicable, mention which:	None: ----- Regular Force : ----- Reserve: ----- Cadets:
If yes, what was your Service Number (SN)?

PART D - Previous Foreign Military Service

Have you served in a foreign military service?:

Yes: ----- No :

PART E - Education

Level of education successfully completed

What level of education have you reached?:

Education in Detail

Subect 1/Specialization 1

Subect:
Degree completed	Yes: ----- No :
Number of years completed
Date last attented (yyyy/mm)
Name of degree/diploma/certificate received (if applicable)
Name of institution
Province and Country

Subect 2/Specialization 2

Subect:
Degree completed	Yes: ----- No :
Number of years completed
Date last attented (yyyy/mm)
Name of degree/diploma/certificate received (if applicable)
Name of institution
Province and Country

Subect 3/Specialization 3

Subect:
Degree completed	Yes: ----- No :
Number of years completed
Date last attented (yyyy/mm)
Name of degree/diploma/certificate received (if applicable)
Name of institution
Province and Country

Other studies, training or qualifications either completed or in progress

Course 1

Course/Training/Qualification
Completed	Yes: ----- No :
Length (years)
Date last attented (yyyy/mm)
Institution

Course 2

Course/Training/Qualification
Completed	Yes: ----- No :
Length (years)
Date last attented (yyyy/mm)
Institution

Course 3

Course/Training/Qualification
Completed	Yes: ----- No :
Length (years)
Date last attented (yyyy/mm)
Institution

PART F - Work Experience

During the past 5 years, select in years your total amount of work experience, include full and part time, seasonal, temporary, and volunteer work.
None:
Less than 1:
1-2:
2-3:
3-4:
5:

Provide details of your "work experience" during the past 5 years
Note: you do not have to fill in all or any of the following text areas if it does not apply. INCLUDE JOB TITLE, PERIOD OF WORK, PART OR FULL TIME, AND NAME OF YOUR EMPLOYER

Job 1

Job 2

Job 3

Job 4

Job 5

PART G - Physical Fitness/Sports

On average, during the past 12 months, select the number of times per week you participated in sports/physical fitness.

None:
1:
2:
3:
4:
5+:

Describe (List type, period and duration)

PART H - Activities and Interests

1. On average, during the past 2 years, select the number of hours per week you have decoted to extra curricular activities (ie., outside school or work such as community involvement, clubs, cadets, committees, chores, etc.)
None:
1:
2:
3:
4:
5+:
Describe

PART I - Leadership/Supervisory Experience

1. Select the number of years experience you have had in a supervisory role or leadership position
None:
1:
2:
3:
4:
5+:
Describe

PART J - Canadian Forces Declartion of Physical Fitness
I declare that I have conducted a self-assessment of physical fitness and that I have achieved the followigin results:
Run 2.4km in minutes and seconds. Consecutive push-ups: Consecutive sit-ups:

I also understand that I will be required to complete a physical fitness evaluation prior to enrolment.

PART K - Biographical Information
Provide addresses for the last five years, starting with the most current (before the address you entered at the beginning)
Make sure to include apartment number, street number, street name, civic number, the date you lived there, city, province, postal code, country and telephone number.

1.

PART L - Criminal Convictions in and Outside of Canada

Have you ever been convicted of a criminal offence for which you have not been granted a pardon?
Yes:
No:
If yes, give details, (charges, name of police force, city, province/state, country and date of conviction)

PART M - References
At least one of the following references must have known you for at least five (5) continuous years.

Reference #1

First Name
Last Name
Relationship
Occupation/Position
Daytime Phone #
Evening Phone #
Fax #
Email Address
Street #
Street Name
City
Province
Postal Code

Reference #2

First Name
Last Name
Relationship
Occupation/Position
Daytime Phone #
Evening Phone #
Fax #
Email Address
Street #
Street Name
City
Province
Postal Code

Reference #3

First Name
Last Name
Relationship
Occupation/Position
Daytime Phone #
Evening Phone #
Fax #
Email Address
Street #
Street Name
City
Province
Postal Code

That completes the online portion of the application. After you submit it, we will review it and contact you to setup a meeting.

DO NOT CLOSE YOUR BROWSER OR REFRESH THE PAGE WHILE THE APPLICATION IS SENDING. IT COULD TAKE A FEW MINUTES.


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