APPLICATION FOR EMPLOYMENT

Date ________________________
Please complete this application in as much detail as possible, even if you are also submitting a resum.
The more you write, the easier it is for us to know if you are going to fit within our company. Attach extra paper
as necessary. Thank you for applying.
Are you applying for Full Time

Part Time

Seasonal
LANGUAGES

Name (print) ____________________________________________________________________

Last
First
Middle
Address ________________________________________________________________________
Apt.
Street
______________________________________________
City
Postal Code

Telephone Number ______________

Are you currently enrolled in school or university? Yes

Education

French

Other Languages: ___________

__________________________

No
Grade / Year
Completed

Name of School

Engl.

Spoken
Read
Written

Major

Diploma / Degree

High School
Community
College
Business, Trade or
Technical School
University
Other
If employed or previously employed, please complete the following section starting with your most recent or current employer.
Name of last employer (company)

Type of work

Address (street, city)

Date started

May we contact your current employer for a reference?

Yes

Telephone

Last date worked

Company
use only
Salary / Wage

References
obtained

If yes, identify immediate supervisor who would know your

name.

Satisfactory

What was her/his title?

Duties and responsibilities

Tel.

Yes No

No

Position you held

Writ.

Why did you leave (or are looking to leave)?

What do you think your employer would say about you?

What did you like most about your job?

What did you like least about your job?

8980-604

Name of previous employer (company)

Type of work

Address (street, city)

Date started

Telephone

Last date worked

Company
use only
Salary / Wage

References
obtained
Satisfactory

Identify immediate supervisor who would know your

name.

What was her/his title?

Position you held

Duties and responsibilities

Yes No
Tel.

Writ.

Why did you leave?

What do you think your employer would say about you?

What did you like most about your job?

What did you like least about your job?

Name of previous employer (company)

Type of work

Address (street, city)

Date started

Telephone

Last date worked

Identify immediate supervisor who would know your

name.

What was her/his title?

Position you held

Duties and responsibilities

Company
use only
Salary / Wage

References
obtained
Satisfactory
Yes No
Tel.

Writ.

Why did you leave?

What do you think your employer would say about you?

What did you like most about your job?

What did you like least about your job?

If necessary, list other employers on a separate sheet. This is particularly important for a fair evaluation of your work record if any of
the above has been short service.

HOURS AVAILABLE TO WORK

Please place a check mark () indicating each of the times you are available to work.
MON
Morning
Afternoon
Evening

TUES.

WED.

THUR.

FRI.

SAT.

SUN.

In addition to your work history, what other experiences, skills or qualifications make you a good fit for our company?

Why do you want this job?

What is your expected rate

of pay?
$ ____________

Hourly Weekly
What are your personal goals?

What skills do you need to improve upon?

To be an effective employee, what must a person do or not do?

DO:

NOT DO:

Tell us about one of your success stories with a customer. What made it a success?

What events, sports, hobbies or volunteer activities are you involved in?

What are some things in a job that are important to you?

Is there anything else you would like to tell us about yourself?

What kinds of things in a job would make it not appealing to

you?

Are you legally entitled to work in Canada?

Have you ever been convicted of an offence under the Criminal Code of Canada, of any other
country or state, or under any statute of any Province of Canada, for which you have not been
pardoned and which may have some bearing upon the position for which you are applying?
For what position are you applying?

Yes

No

Yes

No

Yes

No

Yes

No

How did you happen to apply for a position at our store?

Are you acquainted with anyone working at our store?
(If so, please give their name, position and length of acquaintance.)

Have you ever been employed by Home Hardware?

If yes, when?
In what location?

In what position?

PLEASE READ CAREFULLY BEFORE SIGNING

I certify that the information contained in the above employment application and any document annexed to it is complete, exact and truthful in every respect. I
understand that it is on the basis of the completeness, exactitude and truth of such information that any offer of employment might be extended. I understand and accept
that any omission or untruth in these respects shall be considered sufficient cause for dismissal.
I hereby consent to the conduct of a personal background check by Home Hardware or their agents in connection with this application, relating to the position for which
I am applying.
I agree that Home Hardware can contact the above work references and work history employers.

I consent to the release and communication to Home Hardware or their agents of any information, whether personal information or otherwise, contained in any file that
any former employer, learning institution or enterprise may have or may have had about me that relates to this application.
I understand that any offer of employment is conditional upon my successfully passing a probationary period for the first 3 months worked, during which time I can be
terminated at the discretion of Home Hardware without notice or severance pay. After that, I agree that as full entitlement for notice or severance pay will be the full
notice or pay in lieu of notice, if any, required by the Provincial Employment Standards Act.
The retail market requirements for scheduling of work and how this may affect my hours have been explained to me. I realize that my employment may be terminated if
I refuse to accept a day or shift assignment that I have previously agreed to work. Reasonable accommodation, short of undue hardship, will be made for mandatory
religious observance.
Furthermore, if hired, I agree and promise to respect and adhere to all Home Hardware policies and regulations, and that if and when required shall enroll in other
required benefits as soon as I become eligible.
If I am hired, I authorize Home Hardware or their agents to proceed with any reasonable search either of my person, my personal effects, or my locker situated on
Company premises, as may be required by them.
All of the above forms constitute an integral part of my Application for Employment, dated _____________________________________.

I have carefully read, and agree to the above.

Signature

Date and Place of Signature

Social Insurance Number (optional)