APPLICATION FOR EMPLOYMENT
Please complete the following application in detail.
Return by fax to: (416) 207-9681
Artisano Bakery Café Ltd is an equal opportunity employer.
PERSONAL INFORMATION (please print)
Name
Last
First
Middle
Social Insurance Number
________________________________________________________________________________________________________
Present Address
Street
City
Province
Postal Code
________________________________________________________________________________________________________
Permanent Address Street
City
Province
Postal Code
________________________________________________________________________________________________________
Phone Number
Daytime
Evening
Referred by:
EMPLOYMENT DESIRED (You are applying for a restaurant hourly position, please keep in mind that availability of hours may vary).
Position
Location/Department
Date You Can Start
_________________________________________________________________________________________________________
Specify hours
available for each
day of the week
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Are you able to work overtime?________________________________________________________________________________
EDUCATION
High School
Circle Last
Year Completed
1
2
3
4
College
1
2
3
4
Y
N
Post College
1
2
3
4
Y
N
Trade, Business or
Correspondence School
1
2
3
4
Y
N
Name & Address of School
Did You
Graduate?
Y
N
Subjects Studied &
Degrees Received
List skills relevant to the position applied for:_________________________________________________________________________________
What do you like about working in a restaurant?
Why would you like to work for Artisano Bakery Café Ltd?
Describe a specific situation where you have provided excellent customer service in your most recent position. Why was this effective?
Please describe any customer service training you have received by your current or previous employers?
FORMER EMPLOYERS
Please list your current and last three employers, starting with the most recent one first. Please include any non-paid/volunteer experience which is
related to the job for which you are applying. Please complete even if you attach a resume.
1
Date (M/D/Y)
From
To
Duties Performed:
2
From
To
Duties Performed:
3
From
To
Duties Performed:
4
From
To
Please Detail - Name, Address, Type of Business
Current Employer
Salary or Hourly
Starting____________
Ending_____________
If hourly, average # of
hours per week______
Supervisor’s Name:
Phone Number:
May we contact?
Previous Employer:
Salary or Hourly
Starting____________
Ending_____________
If hourly, average # of
hours per week______
Supervisor’s Name:
Phone Number:
May we contact?
Previous Employer
Salary or Hourly
Starting____________
Ending_____________
If hourly, average # of
Supervisor’s Name:
hours per week______
Phone Number:
May we Contact?
Supervisor’s Name:
Phone Number:
May we contact?
Previous Employer
Salary or Hourly
Starting____________
Ending_____________
Supervisor’s Name:
If hourly, average # of
Phone Number:
hours per week______
May we Contact?
Duties Performed:
Position
Reason for Leaving
Position
Reason for Leaving
Position
Reason for Leaving
Position
Reason for Leaving
Supervisor’s Name:
Phone Number:
May we contact?
REFERENCES: Give below the names of three professional references, which you have known at least one year.
Name
1
Address & Phone Number
Business
Years acquainted.
How do you know this person?
2
3
Have you within the last five years been convicted of a criminal offence relating to theft, fraud or assault?
Have you within the last five years received a conditional discharge with respect to any criminal offence relating to theft, fraud,
arson or assault?
I hereby authorize Artisano Bakery Café Ltd to thoroughly investigate my background references, employment record and
other matters related to my suitability for employment including performing a police check. I authorize persons, schools, my
current employer (if applicable), and previous employers and organizations contacted by Artisano Bakery Café to provide any
relevant information regarding my current/and or previous employment and I release all persons, schools, employers of any
and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection
of this application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a
confidentiality and/or non-compete agreement, should I become an employee of Artisano Bakery Café Ltd. Furthermore,
should my responsibilities include handling cash, I will be required to sign a Cash Accountability Agreement. I understand that
nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an
employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate
Artisano Bakery Café to hire me. The attached consent to release of information forms part of this application.
Date:___________________________________ Signature:_______________________________________
CONSENT UNDER CANADIAN FEDERAL, PROVINCIAL AND MUNICIPAL
ACCESS TO INFORMATION LEGISLATION AND PRIVACY LEGISLATION
I hereby consent to the release to Artisano Bakery Café Ltd., of all personal information relating to
me requested by it for the purpose of its consideration of my application for employment by Artisano
Bakery Café Ltd.
Date:
Witness:_____________________________
Signature:____________________________
Print Name: