First Name

Last Name

Present Address

Previous Address

Phone Number

Cell/Other

Are you eligible to be bonded?
—Please choose an option—YesNo

Are you legally entitled to work in Canada?
—Please choose an option—YesNo

Are you at least 18 years old?
—Please choose an option—YesNo

Salary Desired

Employment Desired
—Please choose an option—Permanent Part-timePermanent Full-timeTemporary Part-timeTemporary Full-time

The normal course of a work day may require lifting and being on your feet, in many of our jobs repetitive motion is a common occurrence. Is your ability to perform these duties likely to be affected by a previous illness or disability?
—Please choose an option—YesNo

If yes, please explain

Per Beverly Corners Liquor Store policy, you will be required to ask anyone who appears under the age of 30 for 2 pieces of ID. Are you confident that you can fulfill this obligation?
—Please choose an option—YesNo

List hobbies & sport activities you participate in throughout the year

List any friends or relatives working for Beverly Corners Liquor Store

Do you have First Aid Training?
—Please choose an option—YesNo

If yes, what level?

First Aid Expiry Date

Education Level
—Please choose an option—High SchoolCollege or University, Technical School

Name of School or Institution

Grade Level/Degrees/Diplomas Received

Are you currently attending school or other educational facility?
—Please choose an option—YesNo

Have you been convicted of a felony in the last seven years?
—Please choose an option—YesNo

If yes, list convictions that are a matter of public record (arrests are not public convictions). A conviction will not necessarily disqualify you for employment. An explanation may be attached but is entirely voluntary on your part.

EMPLOYMENT HISTORY (Please complete in full detail, even if you attach a resume. List in chronological order.)

Name and address of current/last employer

Position/Title

Date Employed (To/From)

Reason For Leaving

Supervisor’s Name & Phone Number

Name and address of second most recent employer

Position/Title

Date Employed (To/From)

Reason For Leaving

Supervisor’s Name & Phone Number

Upload Resume (Please attach a resume and cover letter, if available.)

REFERENCES (List below the names of two references whom you have known for at least one year.)

Name/Address & Phone Number/How do you know this person?

Please attach your Serving It Right™ certificate

APPLICANT’S ACKNOWLEDGEMENT AND AGREEMENT

All applicants are to read the following carefully. Signing this application form is your acknowledgement and agreement of the following:
1. I hereby authorize Beverly Corners Liquor Store (BCLS) to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment.
2. I hereby authorize my current employer (if applicable) and all previous employers and organizations contacted by BCLS to provide any relevant information regarding my current and/or previous employment and I release all persons, employers of any and all claims for providing such information.
3. I acknowledge and agree that should I become an employee of BCLS I will follow all BCLS policies and that failure to do so may result in administrative or disciplinary action, and or my employment being terminated.
4. I understand that I may be required to sign a confidentiality agreement should I become an employee of BCLS.
5. I understand that upon being offered a position, a bonding check may be conducted.
6. I certify that the information given by me in this application is true and complete to the best of my knowledge. I understand and agree that if I am employed, and any statement on this application is at any time found to be false, such information may be cause for immediate dismissal.
7. I understand this application becomes the property of BCLS & will be kept on file if hired, otherwise it may be destroyed along with other attached documents such as resumes & references etc. at the discretion of BCLS.

To the Applicant:
Beverly Corners Liquor Store is an equal opportunity employer dedicated to a policy of non-discrimination in employment on any basis including race, ancestry, place of origin, political belief, religion, marital status, physical or mental disability, gender, age, or any other basis prohibited by federal or provincial law.