Capstone Mining Corp. - Employment Application

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MINTO EXPLORATIONS LTD. - MINTO MINE

Attention: H.R. Supervisor, Minto Explorations Ltd., PO Box 33174, Whitehorse, YT, Y1A 6S1
E-mail: Fax: 604-759-0861

APPLICATION FOR EMPLOYMENT

PLEASE READ CAREFULLY

OFFERS OF EMPLOYMENT WILL BE MADE ONLY AFTER SUCCESSFUL COMPLETION OF THE FOLLOWING:

Accurate reporting of information as requested on this application form (the applicant must sign and date the application).
Interview(s) by appropriate Minto Explorations Representative(s).
Verification of past employment and enquires into the quality of work and reliability of the applicant.
Approvals of the offer by an authorized Minto Explorations official.

All offers of Employment will be made through Minto Explorations Ltd. (a subsidiary of Capstone Mining Corp.), contingent upon satisfactory drug screen and medical examination results. Applicants, if hired, will be required to provide the documents needed to complete an Employment Eligibility Verification.

Confidential? Yes No

DRIVER'S LICENSE		CLASS:
PROVINCE:		EXPIRY:

Would you authorize Minto Explorations to obtain a copy of your current driver's abstract in the event that your work involves driving a company vehicle?	Yes	No
Do you own your own transportation?	Yes	No
Are you able to work rotating shifts (24 hours/day, 7 days/week)?	Yes	No
Are you fully fluent in spoken English?	Yes	No
Are you legally entitled to work in Canada?	Yes	No
Have you ever been convicted of a misdemeanor which resulted in your incarceration (jail, prison or other)? (Note: a conviction does not automatically bar employment)	Yes	No
Have you ever been convicted of a felony?	Yes	No
What is your highest level of education completed?

TRADE TICKETS/CERTIFICATIONS
(please provide particulars including ticket numbers, issue dates & expiry dates (if applicable):

FIRST AID
CERT #:		PROVINCE:
Standard Industrial		EXPIRY:

MINE RESCUE
CERT #:		PROVINCE:
		EXPIRY:

Have you ever worked for Capstone Mining Corp, Sherwood Copper Corporation or Minto Explorations Ltd.?	Yes	No
Where?	Sherwood	Capstone
	Minto
(If yes, when? where?

POSITION DESIRED
DATE AVAILABLE TO START

EMPLOYMENT HISTORY (please provide details for your last two (2) employers):
COMPANY:
TITLE:
DATES:
	Start (MM/DD/YY)	End (MM/DD/YY)
SUPERVISOR:		PHONE:
REASON FOR LEAVING:		SALARY:

COMPANY:
TITLE:
DATES:
	Start (MM/DD/YY)	End (MM/DD/YY)
SUPERVISOR:		PHONE:
REASON FOR LEAVING:		SALARY:

Please describe any work-related accidents that you have been involved in:

Over the last year, how many days have you been late or absent? Please describe circumstances.

Please describe anything that would presently prevent you from doing the job that you have applied for with Minto Explorations?

REFERENCES:
NAME:
COMPANY:		POSITION TITLE:
WORK PHONE:		HOME PHONE:
RELATIONSHIP:

NAME:
COMPANY:		POSITION TITLE:
WORK PHONE:		HOME PHONE:
RELATIONSHIP:

WAIVER & AUTHORIZATION

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is just cause for dismissal should I be offered employment.

By submitting this application to Minto Explorations Ltd., I have consented to the collection, use and disclosure of my personal information for the purpose of recruiting, including my personal employment information.

In order to assist me in obtaining employment, Minto Explorations may collect my personal information from my references and former employers and Minto Explorations may use and disclose my personal information to my references and potential employers. I authorize the disclosure of my personal information to Minto Explorations by any and all of my employers, former employers, schools, references and individuals/organizations reasonably connected to my employment or educational background. In addition, I authorize such persons to disclose my personal information for the purpose of evaluating my credentials and qualifications.

Further, I hereby release Minto Explorations, its employees, agents and divisions, wherever located, and any and all of my employers, former employers, schools and references, and any other individuals/organizations and other persons reasonably related to this recruitment process from all liability in responding to inquiries in connection with the services provided to me by Minto Explorations.

I authorize Minto Explorations to retain my personal information, including my personal employment information, for a period of one (1) year for the purpose of recruitment. I understand that Minto Explorations will not sell or give my resume or any of my personal information, including my personal employment information, to a third party for any reason other than recruitment.

As part of the application process, I understand that my job-related skills and knowledge may be tested. I understand that I may request any needed accommodations to participate in this testing or any other part of the application process.

I understand that I may withdraw my consent at any time, with five (5) business days' notice. Upon withdrawal of my consent, my file will be destroyed. In addition, I understand that Minto Explorations retains the right to keep a record of personal information relating to recruitment work already completed at the time of the destruction, or Minto Explorations may return my file in accordance with existing Privacy Legislation

I agree to the above waiver and authorization *