Employment Opportunities

Pemberton Valley Supermarket Employment Application

PERSONAL DATA
Surname (required):
First Name (required):
Middle Initial:
Main Phone Number (required):
What type of phone is this for? (required)MobileLandline
Other Phone Number:
Your Email (required):
Street Address:
Unit Number:
City :
Province:
Postal Code:

Application Details
Position Applied for:
Date available for employment: → click below for a date picker
Salary Expectations:
Have you ever worked for Pemberton Valley Supermarket before? (required)YesNo
How did you find out about this job?:
Prefer? (required)Full TimePart Time
Are you legally allowed to work in Canada?: (required)YesNo

Education
Highest Grade or Level Completed?:
Diploma/Degree Obtained?:
Other courses, workshops, seminars:

Availability (24 Hour Clock e.g. 8 AM = "8" or 3 PM = "15")
Mon:FromTo
Tue:FromTo
Wed:FromTo
Thu:FromTo
Fri:FromTo
Sat:FromTo
Sun:FromTo

Employment Background
Employment Position #1
Start Date: → click below for a date picker
Finish Date: → click below for a date picker
Company Name:
Address:
Name of Supervisor:
Phone Number:
Your Position:
Salary:
Reason for Leaving:
Describe Duties:
May we approach this employer for a reference?YesNo

Employment Position #2
Start Date: → click below for a date picker
Finish Date: → click below for a date picker
Company Name:
Address:
Name of Supervisor:
Phone Number:
Your Position:
Salary:
Reason for Leaving:
Describe Duties:
May we approach this employer for a reference?YesNo

Employment Position #3
Start: → click below for a date picker
Finish: → click below for a date picker
Company Name:
Address:
Name of Supervisor:
Phone Number:
Your Position:
Salary:
Reason for Leaving:
Describe Duties:
May we approach this employer for a reference?YesNo

ACTIVITIES - civic, athletic, etc.
Please exclude reference to any organization that could indicate race, religion, marital status, age, colour, gender, ancestry, political beliefs, sexual orientation, place of origin, physical disability, mental disability, or handicap.:

GENERAL COMMENTS
Feel free to add any other comments here:

AUTHORIZATION
As a condition of my application for employment, I authorize investigation of all statements contained in this application. I understand that the Pemberton Valley Supermarket Ltd. decision will be based on non-discriminatory consideration and that misrepresentation or omission of facts called for is just cause for the rejection of my application or dismissal..
Type Your Full Name Here to Signify Your Agreement (required):
Date → click below for a date picker (required):