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Retail Operations Casual Employment Application Form
Last Updated: August 2014
I, the undersigned, certify that I have read the information on the NSLC Careers website (myNSLC.com/careers) and meet the minimum qualifications
as described. I authorize the NSLC or its representatives to verify the information provided by me during this selection process and to conduct reference
checks and other background checks. I certify that the facts set forth in this application form and provided during the selection process are true to the
best of my knowledge. I understand that false statements are sufficient cause for immediate dismissal.
Applicant’s signature Date
The NSLC website (myNSLC.com/careers) contains important employment information. All applicants are required to review this
information before submitting this application. Applications are kept on file for six (6) months. Applicants are invited to attach their
resume to this application form.
Section A – Your Information & Minimum Requirements
Last Name
First Name and Initial
Home Telephone
Mailing address
Other Phone
Town/City
Postal code Email address
Are you at least 19 years of age and have your Grade 12/GED Certificate?
Yes No
Are you are legally entitled to work in Canada?
Yes No
Are you bilingual in French and English
? (Requirement in the Arichat, Cheticamp, Meteghan and West Pubnico stores)
Yes No
Are you physically able to lift 50lbs?
Yes No
Have you ever been convicted under the Liquor Control Act and/or the Criminal Code?
If yes, please give full details including date:
Yes No
Have you ever worked at the NSLC before?
Yes No
Section B – Your Availability - Please indicate the hours you are available for work.
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
From
To
All day
Split Shifts
Are there any days/times when you are unavailable? ___________________________________________________
Section C - Voluntary Information
1. What is your gender? Female Male
2. Are you a member of the Aboriginal peoples of Canada? Yes No
3. Are you a member of a racially v
isible Community? Yes No
4. Are you a person with a disabilit
y? Yes No
Section D – Your Recent Work Experience – You must complete this section for your application to be deemed complete.
Incomplete application forms will be disqualified from further consideration.
1. Company name (your current/most recent):
From (mo/yr): To (mo/yr):
Position Title:
Location (City, Province):
Describe the major responsibilities of this position:
2. Company name
From (mo/yr): To (mo/yr):
Position Title :
Location (City, Province):
Describe the major responsibilities of this position:
3. Company name
From (mo/yr): To (mo/yr):
Position Title :
Location (City, Province):
Describe the major responsibilities of this position:
Indicate if you have the following experience or the equivalent: If yes, when & where were you employed?
1. Customer Service experience Yes No _______________________________________
2. Retail Sal
es experience Yes No _______________________________________
3. Cash and/or POS experience
Yes No _______________________________________
4. Experience in the beverage alcohol
industry Yes No _______________________________________
All day
Split Shifts
All day
Split Shifts
All day
Split Shifts
All day
Split Shifts
All day
Split Shifts
All day
Split Shifts