EMPLOYMENT APPLICATION Thank you for your interest in joining our team at the Casalinga Food Services Inc. Please print clearly & complete all pages of the application form. Drop off or mail to 3847 Kingsway Burnaby, BC, Canada. V5H 1Y5 PERSONAL INFORMATION DATE OF APPLICATION:______________ Name: Last First Middle Address: Street (Apt) City, State Zip Alternate Address: Street Contact Information: ( City, State ) ( Home Telephone Zip ) Mobile Email How did you learn about our company? Newspaper Friend Employee TV Radio POSITION SOUGHT: _________________________ Desired Pay Range: _____________________ By Hour or Salary Website Available Start Date:______________ Are you currently employed? _________________ EDUCATION Name and Location Graduate? – Degree? Major / Subjects of Study High School College or University Other Education Please list your areas of highest proficiency, special skills or other items that may contribute to your abilities in performing the above mentioned position.____________________________________________ _________________________________________________________________________________________ ________________________________________________________________________________________ You Must Be Legal age of 19 to Serve in this establishment Do you have "Serving It Right"? if Yes Number #_______________________________________________ Do you have "Food Safe"? (Required in the food industry) Yes No Do you have "MEANS OF Transportation"? (For working early or late night shifts) Yes No PREVIOUS WORK EXPERIENCE Please list beginning from most recent Dates Employed Company Name Location Role/Title Location Role/Title Job notes, tasks performed and reason for leaving: Dates Employed Company Name Job notes, tasks performed and reason for leaving: If you have no prior work experience, please supply us with two character references Name:________________________ Phone #: _______________ Relationship:__________________________________________ Name:________________________ Phone #: _______________ Relationship:__________________________________________ I certify that I have answered truthfully and have not knowingly withheld any information relative to my application. I understand that the misrepresentation or omission of material on this application may result in my being eliminated from further consideration. I further understand that, if accepted for employment, any misrepresentation or material omissions, which becomes known to the Oliver Twist Pub , may result in termination of my employment. I understand that filling out this form does not indicate there is a position open and does not obligate the Oliver Twist Pub to hire me. Date: ____________________ Signature of Applicant:______________________________________