General Employment Application Basic InformationFull Name* Email* Phone 1*Phone 2Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Referred By: Position(s) Applied For* Date Available* MM slash DD slash YYYY Type(s) of employment desired* Full-Time Part-time Temporary Seasonal Educational (Co-op) Desired Salary ( /Hr) Will you be legally eligible to work in this country on your availability date?* Yes No Languages* English French Other If Other:* Are you available to work overtime if required?* Yes No Are you available to work week-ends if required?* Yes No Have you been employed here previously?* Yes No If "Yes" when?* and in what position?* As part of our company policy it is standard procedure to perform a criminal background check on those we are considering for employment. Would you object to such a procedure?* Yes No Educational BackgroundList your previous 3 educational institutions attended beginning with the most recent.Education #1School City Province/State Degree/Diploma Graduated Yes No Education #2School City Province/State Degree/Diploma Graduated Yes No Education #3School City Province/State Degree/Diploma Graduated Yes No Employment BackgroundProvide the following information beginning with the most recent employer.Employer #1Employer PhoneEmployed From MM slash DD slash YYYY to MM slash DD slash YYYY Supervisors Name Title May we contact for reference? Yes No Later Type Work/Responsibilities:Type Work/Responsibilities:Employer #2Employer PhoneEmployed From MM slash DD slash YYYY to MM slash DD slash YYYY Supervisors Name Title May we contact for reference? Yes No Later Type Work/Responsibilities:Reason For leaving:Employer #3Employer PhoneEmployed From MM slash DD slash YYYY to MM slash DD slash YYYY Supervisors Name Title May we contact for reference? Yes No Later Type Work/Responsibilities:Reason For leaving:Employer #4Employer PhoneEmployed From MM slash DD slash YYYY to MM slash DD slash YYYY Supervisors Name Title May we contact for reference? Yes No Later Type Work/Responsibilities:Reason For leaving:Comments including explanation of any gaps in employment:What was the best job you ever had and why did you like it so much?What was your least favourite job and what did you not like about it?What are your greatest strengths?As your skills and abilities relate to your work experiences, what are the areas for improvement?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?ReferencesReference #1Name Relationship Years Acquainted PhoneReference #2Name Relationship Years Acquainted PhoneReference #3Name Relationship Years Acquainted PhoneBy checking the boxes below I confirm my certifications, authorizations and understandings as so indicated:* 1. I certify that all the information I have provided is true complete and correct. * 2. 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. * 3. 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. * 4. I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in Canada. CAPTCHA
