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Employee Application Form 2022

This document is an application for employment. It requests information such as contact details, availability, certifications, references, and previous employment history. The applicant notes their preferred location for work and understanding of availability requirements. Full-time applicants must have open availability, while part-time applicants list their desired weekly hours and specific availability. The applicant agrees to the terms of the application and authorizes reference and background checks.

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maykaushiik
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31 views2 pages

Employee Application Form 2022

This document is an application for employment. It requests information such as contact details, availability, certifications, references, and previous employment history. The applicant notes their preferred location for work and understanding of availability requirements. Full-time applicants must have open availability, while part-time applicants list their desired weekly hours and specific availability. The applicant agrees to the terms of the application and authorizes reference and background checks.

Uploaded by

maykaushiik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Employee Application

APPLICANT INFORMATION:

Full Name:
First Last
Address:
Street Address Unit #

City State Postal Code


Home Phone: ( ) Cell Phone: ( )

E-mail Address:

While my preference is to work at the _______________________ location, I am available to work at all locations as
needed.

What is your preferred location?


Please check all that apply: Coquitlam Kitsilano North Vancouver

I understand that this availability may only change after giving notice to the manager and receiving their approval and
cannot change within the 3 month probationary period

FULL-TIME APPLICANTS:

Date available: Are you going back to school? Yes No Start date:______

I understand I am applying for a full-time job that requires open availability: Yes No

PART-TIME APPLICANTS:
Are you going back to school? Yes No Start date:______
Date available:

The average numbers of hours per week I would like to work is ___________.

I am available to work as follows: I am available any time every day

1. Mondays: ____ am - ____ pm or Available Any Time or Not Available

2. Tuesdays: ____ am - ____ pm or Available Any Time or Not Available

3. Wednesdays: ____ am - ____ pm or Available Any Time or Not Available

4. Thursdays: ____ am - ____ pm or Available Any Time or Not Available

5. Fridays: ____ am - ____ pm or Available Any Time or Not Available

6. Saturdays: ____ am - ____ pm or Available Any Time or Not Available

7. Sundays: ____ am - ____ pm or Available Any Time or Not Available

CERTIFICATIONS:

Highest level or grade Type of certificate or


completed: diploma obtained:

Do you have Driver’s license? Yes No DL Class ________________,


Are you legally entitled to work in Canada? Yes No
I am able to lift 40lbs repetitively: Yes No
Employee Application

REFERENCES:

Please list three professional references or attach on separate sheet.


Full Name Relationship
1
Company Phone

Full Name Relationship


2
Company Phone

Full Name Relationship


3
Company Phone

PREVIOUS EMPLOYMENT:
Company Phone

Address Supervisor

Job Title Starting Salary $ Ending Salary $


1
Responsibilities

From To Reason for Leaving


May we contact your previous supervisor for a
Yes No
reference?
Company Phone

Address Supervisor

Job Title Starting Salary $ Ending Salary $


2
Responsibilities

From To Reason for Leaving


May we contact your previous supervisor for a
Yes No
reference?

My signature below certifies that:


 All information in this application for employment is correct and complete to the best of
my knowledge and belief.
 I understand that false or misleading information in this application could result in refusal
of employment or discharge.
 I authorize the verification of the above information and any other necessary inquiries that may
be needed to determine my suitability for employment.
 I authorize KORNA Pet to contact any of the references provided by me for the purpose of a
reference check.
 I understand that this application for employment does not constitute an employment offer.

Signature: ________________________________________________ Date: ___________________

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