Application Personal Information First Name Last Name Address City Postal Code Phone Email Date of Birth Social Insurance Number Previous Place of Employment Employer Start Date End Date Manager Name Phone Education School Name Start Date End Date Affirmation That Above Information is Correct Where the information provided is inauthentic, Green Flag has full authority to terminate your work opportunity immediately for providing false information. In addition, where the information provided is inauthentic and leads to any undesirable results, ONLY Green Flag can take legal action for injunction, civil claim for damages and remedies where such actions are necessary.