Application for Employment

Please enter the security code shown in the graphic:

About You
	Fields indicated with an asterisk (*) are required.
Name:	*
Nickname:
Email:	*
Social Security #:
Home Phone:	*
Message Phone:

Street Address:		City:
Prov:		Postal Code:
Mailing Address:		City:
Prov:		Postal Code:

Name used in previous employment and/or education for purpose of reference check:
If you listed a message phone above, how often do you check for messages?
Do you have reliable transportation to meet any scheduled shift?
Can you read at a grade 6 level?
Are you a non-smoker?
Do you have any friends or relatives working for us?
Who?
Are you legally entitled to work in Canada?
Are you of legal age to work in BC?

Do you have a valid drivers license		Class
Drivers License number

Have you had accidents or moving violations in the past 3 years? (Please provide details):
Have you ever been bonded?
Is there any reason why you could not be bonded? (please provide details):
Is there any reasons why you could not perform all physical aspects of the job? (please provide details):

About The Job

For what position are you applying?
Salary requirement:
Would you accept another position?(If so, which one)?

Which do you prefer?

Full Time

Part Time

If Part Time, how many hrs. per week?

Which will you accept?

Full Time

Part Time

When could you start working full time?
When are you not able to work for us full time?

Mon	Tues	Wed	Thurs	Fri	Sat	Sun
Morn	Morn	Morn	Morn	Morn	Morn	Morn
Aft	Aft	Aft	Aft	Aft	Aft	Aft
Even	Even	Even	Even	Even	Even	Even
Any	Any	Any	Any	Any	Any	Any

When are you not able to work for us part time?

Mon	Tues	Wed	Thurs	Fri	Sat	Sun
Morn	Morn	Morn	Morn	Morn	Morn	Morn
Aft	Aft	Aft	Aft	Aft	Aft	Aft
Even	Even	Even	Even	Even	Even	Even
Any	Any	Any	Any	Any	Any	Any

About Your Work Experience

Company:
Mo/Yr Hired:		Mo/Yr Left:
Job Title:
Reason for Leaving:
No. Supervised at start:		No. Supervised at end:
Start Salary: $		Per:
End Salary: $		Per:
Supervisor's Name:		Position:
Phone:
Superior Name:		Position:
Phone:
Co-Worker's Name:		Position:
Phone:
Co-Worker's Name:		Position:
Phone:
Subordinate's Name:		Position:
Phone:
Subordinate's Name:		Position:
Phone:
Major Responsibilities & Accomplishments:

About Your Work Experience (2)

Company:
Mo/Yr Hired:		Mo/Yr Left:
Job Title:
Reason for Leaving:
No. Supervised:		No. Supervised at end:
Start Salary: $		Per:
End Salary: $		Per:
Supervisor's Name:		Position:
Phone:
Superior Name:		Position:
Phone:
Co-Worker's Name:		Position:
Phone:
Co-Worker's Name:		Position:
Phone:
Subordinate's Name:		Position:
Phone:
Subordinate's Name:		Position:
Phone:
Major Responsibilities & Accomplishments:

About Your Work Experience (3)

Company:
Mo/Yr Hired:		Mo/Yr Left:
Job Title:
Reason for Leaving:
No. Supervised:		No. Supervised at end:
Start Salary: $		Per:
End Salary: $		Per:
Supervisor's Name:		Position:
Phone:
Superior Name:		Position:
Phone:
Co-Worker's Name:		Position:
Phone:
Co-Worker's Name:		Position:
Phone:
Subordinate's Name:		Position:
Phone:
Subordinate's Name:		Position:
Phone:
Major Responsibilities & Accomplishments:

About Your Education

High School:		City:		Prov:
Graduated:		No. Yrs. Completed:		Major:
Verification Phone:
University:		City:		Prov:
Graduated:		No. Yrs. Completed:		Major:
Verification Phone:
GradSchool:		City:		Prov:
Graduated:		No. Yrs. Completed:		Major:
Verification Phone:

Extracurricular Activities:
Other Training Programs Completed:
Proffesional Memberships and Certifications:
Other Comments
Why would you be a good choice for this position?

Note: By clicking "Send", you certify the information above is complete and accurate to the best of your knowledge. You authorize the individuals, companies, and agencies concerned to provide this company and its agents with all information necessary to verify the statements you have made in this application and you release them from any liability for so doing. You understand that you must receive satisfactory references from previous employers, co-workers and subordinates (if any) before an offer of employment can be made. You understand that an incomplete application will not be considered and that false, incomplete, or misleading statements are grounds for immediate discharge. You understand that any offer of employment may be contigent upon your passing a prescribed job-related physical examination, proving your identity and documenting your right to work. You understand these policies cannot be changed except in writing.

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Alpenhorn Bistro & Bar
1261 Main St., PO Box 3688
Smithers BC, Canada, V0J 2N0
Ph: 847-5366
Fax: 847-5453

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