HTML Preview Restaurant Job Application Form page number 1.
Employment Application
Name
From
To
SundaySaturdayFridayThursdayWednesdayTuesdayMonday
Address City
Position
applied
for
Highest
level
attained:
Dates
employed:
(day/month/year)
Name and address of employer:
To: Name and
phone number
of reference
From:
Name
of
school:
Program/
major
How many hours
do you expect
to work per week?
What is your
expected hourly
rate of pay?
When are
you available
to start work?
Postal Code
Telephone Number
DAYS AND HOURS AVAILABLE TO WORK
EDUCATION
Position Reason
for
leaving
WORK HISTORY (IF YOU HAVE EVER WORKED FOR AN A&W RESTAURANT, PLEASE INCLUDE THE DETAILS IN WORK HISTORY)
Dates
employed:
(day/month/year)
Name and address of employer:
To: Name and
phone number
of reference
From:
Position Reason
for
leaving
Dates
employed:
(day/month/year)
Name and address of employer:
To: Name and
phone number
of reference
From:
Position Reason
for
leaving
List here activities which you participate in outside work or school.
List only activities and positions held.
Do not list clubs or organizations of racial, religious or national character.
Are you legally entitled to work in Canada?
(ie: citizen, landed immigrant or work permit)
HOBBIES AND COMMUNITY ACTIVITIES
Are you of legal working age in this province?
If yes, please describe: (Note: This restaurant is an equal opportunity employer)
Dated
Signed
©2006 A&W Food Services of Canada Inc.
LIST THE NAMES OF ANY FRIENDS WORKING WITH A&W & WHICH RESTAURANT THEY WORK AT:
Yes No
Yes No
Yes No
Do you suffer from any health problems which may affect your employment in Food Services?
OTHER REFERENCES
I certify the information provided on this application is complete and accurate to the best of my
knowledge. I authorize the restaurant to contact my above stated references to verify the
information provided, and to obtain any other information relevant to this application. This
consent is valid during the consideration of my application, and if I am hired, for the duration of
my employment.
To the applicant: The information you have supplied and any other information obtained will be
used solely for the consideration of your application for employment. Your application will be
considered active for 90 days, after which you must submit a new application.