Employment Application Form

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Yorkton EMPLOYMENT APPLICATION FORM

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION FORM

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PERSONAL INFORMATION

First Name:

Last name:

Address:

Postal Code:

Phone #:

Cell Phone #:

Email:

What position are you applying for?

If hired, what date can you start?

BACKGROUND INFORMATION

Are you legally entitled to work in Canada? (If yes, proof may be required upon employment)

Yes

No

Have you ever been convicted of a criminal offence for which a pardon has not been granted?

Yes

No

EMPLOYMENT CONDITIONS

Are you able to lift 50lbs and understand that there may be continuous standing/movement on your feet in this role?

Yes

No

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We have extremely high standards of personal appearance, including uncompromising personal hygiene. You may be required to wear a uniform or follow a dress code. Are you willing to meet these standards?

New Field:

Yes

No

Because the hours and shifts are so varied, it is necessary to have reliable transportation. Do you have reliable transportation?

Yes

No

EDUCATION AND TRAINING

Circle the highest level of schooling completed:

Grade 9

Grade 10

Grade 11

High School

Trade School

College/University

For Trade School, CECEP / College or University, please indicate your area of study:

Please explain any specialized training or course work you have completed or partially completed that relates to the position you are applying for.

EMPLOYMENT HISTORY

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ENTER RECENT JOB FIRST

Company

Position

Responsibilities

Dates Employed

Reason for Leaving

May we check references?

Yes

No

Phone #:

Company

Position

Responsibilities

Dates Employed

Reason for Leaving

May we check references?

Yes

No

Phone #:

Company

Position

Responsibilities

Dates Employed

Reason for Leaving

May we check references?

Yes

No

Phone #:

What type of position are you looking for? (Please circle)

Full time

Part time (24 hours or less per week)

Seasonal

How many hours per week would you like to work?

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Please CHECK the boxes in which you are unavailable to work:

MONDAY

AM

PM

TUESDAY

AM

PM

WEDESDAY

AM

PM

THURSDAY

AM

PM

FRIDAY

AM

PM

SATURDAY

AM

PM

SUNDAY

AM

PM

Please include any additional information regarding your availability:

Thank you for contacting us.
We will get back to you as soon as possible.

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