Name:
Address:
City:
Postal Code:
Phone Number:
Social Insurance Number:
How long have you lived at your present address?
Previous Address:
Are you legally entitled to serve alcohol?
Yes
No
Have you passed 'Serving It Right'?
Yes
No
Are you legally entitled to work in Canada?
Yes
No
In case of emergency on job, who should we contact?
Name:
Address:
Telephone:
If applying for kitchen:
Food Safe level:
Food Safe Certification Number:
Best and worst experience as a customer in any establishment:
(no names please!)
Position Applying For:
Preference:
Part Time
Full Time
Casual
Availability:
When can you start working here?
I was referred to this company by:
School
Friend
Agency
Walked In
Newspaper Ad
Employee (specify name):
Were you ever employed with Mission Springs before?
From: - To:
Job:
Do you have relatives working for us?
Yes
No
Name(s):
Do you have any physical disability that would prevent you from doing
this job?
Yes
No
Are you bondable?
Yes
No
Education:
Work History (Most Recent Job First)
Summarize Information: