Prairie Girl Bakery

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Job Application

Applicant Information

Last Name*
First Name*
M.I.
Street Address*
 Apartment/Unit #
City*
 Province*
 Postal Code*
Phone*
 Email Address*
  
Date Available to Start Work*
Earliest Possible Start Time*
 Desired Salary*
Position Applied for*
 Number of hours you are able to work each week*
Availability (check the days you are available to work)*
MonTuesWedsThursFriSat
Are you eligible to work in Canada?*
YesNo		 Do you have a reliable form of transportation?*
YesNo
Are you currently in school?*
YesNo		 Do you have plans to go to school?*
YesNo 		 
Out of 10, how would you rate your past work attendance?*
(10 would imply you never missed a day and 1 would mean you rarely showed up to work)

Education

High School
 Address
From:
 To:
Did you graduate?
YesNo		 Degree:
College
 Address
From
 To
 Did you graduate?
YesNo		 Degree
Other
 Address
From
 To
 Did you graduate?
YesNo		 Degree

Previous Employment

Company*
 Phone*
Address*
 Supervisor*
Job Title*
 Starting Salary*
 Ending Salary*
Responsibilities*
From*
 To*
 Reason for Leaving*
May we contact your previous supervisor for a reference?*YesNo
Company
 Phone
Address
 Supervisor
Job Title
 Starting Salary
 Ending Salary
Responsibilities
From
 To
 Reason for Leaving:
May we contact your previous supervisor for a reference?YesNo

Disclaimer and Submit

"I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview 
may result in my release."

Date* YYYY-MM-DD format (e.g. 2013-04-08)

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