EHDGQE=FLHHDA;9LAGF

Name
Phone

E-mail

Address

City

Position applied
for:

When are you available

to start work?

What is your expected hourly

rate of pay?

How many hours do you expect

to work per week?

Postal code

Days and hours available to work:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

From

To

Education:
Highest level
attained:

Program
/major:

Name of
school:

Recent work history:

Dates employed (day/month/year) From:

To:

Name and phone number of reference:

Name and address of employer:

Your position:

Reason for leaving:

Dates employed (day/month/year) From:

To:

Name and phone number of reference:

Name and address of employer:

Your position:

Reason for leaving:

Hobbies and community activities:

List the names of any friends working with A&W and which restaurant they work at:

Are you legally entitled to work in this province?

(ie: citizen, landed immigrant or work permit)

yes

no

Are you of legal working age in this province?

yes

no

I certify the information provided on this application is complete and accurate to the best of my knowledge.
I authorize the restaurant to contact my above stated references to verify the information provided, and
to obtain any other information relevant to this application. This consent is valid during the consideration
of my application, and if I am hired, for the duration of my employment.

Signed

Dated

To the applicant: The information you have supplied and any other information obtained will be used
solely for the consideration of your application for employment. Your application will be considered
active for 90 days, after which you must submit a new application.

#OMPLETEANDRETURNTHISFORMTOTHE!7ATWHICHYOUWOULDLIKETOWORK

TM trade-mark of A&W Trade Marks Limited Partnership, used under licence

Other references: