EMPLOYMENT FORM

Personal Information  
Date of Application
Name
Address
Phone
Position Applied for
Province
City
City
City
City
City
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Location
Number of hours per week preferred
Salary expectations $ /hour
Are you legally entitled to work in Canada?

Employment Information

  

Last or Current Employer

Position

Supervisor’s Name

Supervisor’s Phone Number
Date Employed From and To
What did you like about your job, and why did you leave?
Rate of pay

Previous Employer

  

Last or Current Employer
Position
Supervisor’s Name
Supervisor’s Phone Number
Date Employed From and To

What did you like about your job, and why did you leave?

Rate of pay

Previous Employer

  
Last or Current Employer
Position
Supervisor’s Name
Supervisor’s Phone Number
Date Employed From and To
What did you like about your job, and why did you leave?
Rate of pay

Education

  
Name of school Date From/To Major Highest Grade/Certificate/Diplomas
High School
Vocational
College/Univ.
Note any special skills (i.e. smart serve, first aid training etc.)
Interest/Referral
Have you been previously employeed by Mexicali Rosa's? If so where & when?
Do you have friends or relatives who work for Mexicali Rosa's?
Who referred you to us?
Why are you interested in working at Mexicali Rosa's?

References

  

Name, Phone, Relationship
I understand that the information presented on this Employment Application is true and I understand that any misrepresentation or material omission will be grounds for dismissal:
The applicant acknowledges that for the purposed of determining the suitability of the candidate for the position applied for Mexicali Rosa's may need to make inquiries with respect to relevant information and consents to the company making normal inquiries about work experience through former employers. Mexicali Rosa's is an equal opportunity employer.