656_EXT13_M Formulaire d`emploi.indd

EMPLOYMENT APPLICATION FORM
Formulaire
d'emploi
Please write in upper case letters
IDENTIFICATION
First Name
Last Name
Number
Street
Apartment
City
AVAILABILITY
Province
FROM
TO
Postal Code
Monday
Tuesday
Email
Telephone
Wednesday
Spoken and written languages
English
Do you have the right to work in Canada ?
French
Other
Yes
No
Thursday
Friday
Saturday
DESIRED POSITION
Sunday
Cook
Dishwasher
Fruiter
Busperson
Server
Kitchen manager
Host / hostess
Restaurant manager
Have you worked for our Cora ?
Yes
No
Full-time (24 hours and more)
Part time (Less than 24 hours)
Location
RECENT JOB EXPERIENCE
Name of the company
Position held
Began in
Telephone number
(
)
Name of your supervisor
Ended
Name of the company
Position held
Began in
Telephone number
(
)
Name of your supervisor
Ended
Salary
Reason for
departure
/ year
/ hr
Salary
I hereby certify that the information contained in this employment application form
is true and accurate and I am aware that
any false declarations on my part can lead
to immediate dismissal. I also allow you to
communicate with my previous employers
to verify and confirm any information or
past job experiences.
avec le
Reason for
departure
/ year
leader du déjeuner !
/ hr
Applicant's signature
SCHOOLING
Level
l’emploi idéal
Choisissez
Year
from
to
Name of institution
Year of graduation
Diploma obtained
Date
- Des heures d’ouverture
qui s’adaptent à votre style de vie
- Possibilités de travailler à temps
plein ou partiel
- Programmes de formation
- Possibilités d’avancement
- Ambiance familiale
Thank you for your interest in our family!
656_EXT13_M Formulaire d’emploi.indd 1
Merci
de compléter
ce formulaire 
2013-08-05 2:27 PM