Application for Employment


Name Date

Last First Middle

Address

Street City Province Postal Code

Telephone # ( ) Other Phone # ( )


Referred by



Position(s) applied for Date available


Type of employment desired Full-Time Part-Time Temporary Seasonal Educational Co-Op


Salary desired


Are you legally eligible for employment in this country? Yes No


If you are under 18 and it is required, can you furnish a work permit? Yes No


Are you available to work overtime if required? Yes No


Have you been employed at this company before? Yes No

If yes, when? and at what location?


As part of our company policy, it is standard procedure to perform a criminal background check on someone we are considering for employment. Would you object to such a procedure? Yes No



EDUCATIONAL BACKGROUND

List previous three (3) educational institutions attended, beginning with the most recent.



DEGREE(s)/DIPLOMA(s)

SCHOOL


GRADUATED?

EARNED



Yes No




Yes No




Yes No







EMPLOYMENT BACKGROUND

Provide the following information beginning with the most recent employer.


EMPLOYER

TELEPHONE

DATES EMPLOYED

SUMMARIZE THE TYPE OF WORK


( )

FROM

TO

PERFORMED AND JOB RESPONSIBILITIES

ADDRESS










JOB TITLE


HOURLY RATE/SALARY




STARTING


IMMEDIATE SUPERVISOR AND TITLE


$

per







REASON FOR LEAVING


HOURLY RATE/SALARY




FINAL


MAY WE CONTACT FOR REFERENCE?


$

per


Yes No Later





EMPLOYER

TELEPHONE

DATES EMPLOYED

SUMMARIZE THE TYPE OF WORK


( )

FROM

TO

PERFORMED AND JOB RESPONSIBILITIES

ADDRESS










JOB TITLE


HOURLY RATE/SALARY




STARTING


IMMEDIATE SUPERVISOR AND TITLE


$

per







REASON FOR LEAVING


HOURLY RATE/SALARY




FINAL


MAY WE CONTACT FOR REFERENCE?


$

per


Yes No Later





EMPLOYER

TELEPHONE

DATES EMPLOYED

SUMMARIZE THE TYPE OF WORK


( )

FROM

TO

PERFORMED AND JOB RESPONSIBILITIES

ADDRESS










JOB TITLE


HOURLY RATE/SALARY




STARTING


IMMEDIATE SUPERVISOR AND TITLE


$

per







REASON FOR LEAVING


HOURLY RATE/SALARY




FINAL


MAY WE CONTACT FOR REFERENCE?


$

per


Yes No Later





EMPLOYER

TELEPHONE

DATES EMPLOYED

SUMMARIZE THE TYPE OF WORK


( )

FROM

TO

PERFORMED AND JOB RESPONSIBILITIES

ADDRESS










JOB TITLE


HOURLY RATE/SALARY




STARTING


IMMEDIATE SUPERVISOR AND TITLE


$

per







REASON FOR LEAVING


HOURLY RATE/SALARY




FINAL


MAY WE CONTACT FOR REFERENCE?


$

per


Yes No Later






COMMENTS INCLUDING EXPLANATION ANY GAPS IN EMPLOYMENT:


PLEASE ANSWER THE FOLLOWING QUESTIONS


What was the best job you’ve ever had? Why did you like it so much?

What was your least favorite job? What did you NOT like about it?


Who was the best supervisor or manager you’ve had? What characteristics made that person a good manager?

Think of the WORST supervisor or manager you’ve had. What characteristics made that person a POOR manager?

What are your greatest strengths?

As your skills and abilities relate to your work experiences, what are the areas for improvement?

What traits or characteristics do you most admire in co-workers?

What traits or characteristics do you most DISLIKE in co-workers?

If you won five million dollars and could do anything you wanted for work, what would it be?

What was the funniest thing that ever happened to you at work?

What do you think is the most difficult part of sales / customer service work?


Imagine you have been on your feet and working hard all day. A customer you are assisting is rude and impatient, what do you do?


REFERENCES

List the name, relationship, number of years acquainted, and phone number of three references. (No relatives please).


YEARS

PHONE

NAME

RELATIONSHIP

ACQUAINTED

NUMBER




( )




( )




( )






I certify that all the information I have provided is true, complete and correct.


I authorize you and your organization to investigate all statements contained on this application. I understand that any misrepresentation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal.


Furthermore, I understand and agree that if employed, I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not in any way constitute an agreement or contract for employment.


I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in Canada.





Applicant’s Signature Date





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