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Employment Application
Date of application:
Date available to start:
How did you hear about this opportunity?
If referred, please give name of team member who refered you:
POSITION
Production
Sanitation
Maintenance
Warehouse
STATUS
Full-time
Part-time
Flexible
MY HOURS OF AVAILABILITY
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
FROM
TO
Legal Name
First
Last
Address
Street Address
Street Address Line 2
City
Province
Postal Code
Phone
Email
Are you legally eligible to work in Canada?
YES
NO
Work permit exp. date:
Matrix
YES
NO
Do you own your own transportation?
Are you available for flexible shift work?
Do you have a communicable disease (ex. tuberculosis/ hepatitis) that can be transmitted through food?
Are you bondable?
Are you able to stand at work stations, to move materials & products and lift up to 15 kg (30 lbs) over an 8 hour shift?
Please specify highest level of education completed:
What languages are you able to speak?
What hobbiles and/or activities are you involved in?
CURRENT/MOST RECENT EMPLOYER
YES
NO
May we contact this company?
Company:
Start Date:
End Date:
Supervisor Name:
Ph #:
Position/Duties:
Reason For Leaving:
Starting Pay:
Ending Pay:
PREVIOUS EMPLOYER
YES
NO
May we contact this company?
Company:(2)
Start Date (2):
End Date (2):
Supervisor Name:(2)
Ph #:(2)
Position/Duties:(2)
Reason For Leaving:(2)
Starting Pay:(2)
Ending Pay:(2)
Have you ever worked for Crust Craft/Principality Foods?
YES
NO
If yes, when?
Position Held:
Start Date (3):
End Date (3):
Why did you leave?
What is important to you when you work as a team member?
Helping our production teams to produce good food products quickly and safely is very important. How would you help us make that happen?
List any references not given above as current/previous employers. Please do not list relatives.
NAME
OCCUPATION
RELATIONSHIP
PHONE NUMBER
Please exclude any reference to any organization which could indicate race, religion, marital status, age, colour, gender, ancestry, political beliefs, sexual orientation, place of origin, physical disability, mental disability or handicap. The undersigned acknowledges that the foregoing statements and information fully and truthfully set forth the true and accurate personal information of the applicant as of the date hereof. The undersigned further acknowledges that for the purpose of determining the suitability of the undersigned for the position applied for, an investigation may be made with respect to relevant information. The undersigned hereby consents to Crust Craft collecting and retaining such information and conducting further investigations with respect to relevant information. The undersigned, if hired, further consents to the updating of this information from time to time, as necessary, and to the disclosure of this information and/or the undersigned’s employee file to Crust Craft or its successors, assignees and to third parties who may be retained by Crust Craft from time to time in order to ensure compliance with applicable laws and government regulations. The undersigned acknowledges that his/her consent will apply throughout and after his/her employment with Crust Craft. Information for this file may be kept for 7 years. The undersigned agrees to report any unethical behaviour or harassment by any employee to the management.
Signature:
Date:
Typing your name in the box above qualifies as your electronic signature and certifies that the information you have provided in the previous screens is accurate and true. (You do not need to print out the application form to sign and submit.)
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