Employment Questionnaire

Contact Information

Name

Age

Phone

Email

Name of Employer

Title of Position

Position(s) occupied


How many years have you been with your employer?
 Less than 1 year 1-5 years 5-10 years 10-15 years

When did your dismissal happen?
(ex 1991-12-31)

Is there an Employment Contract?
 Yes No Not sure

Are you a unionized employee?
 Yes No


Share the details of your case