APPLICATION FOR EMPLOYMENT

Woodside Square Mall

171-1571 Sandhurst Circle Scarborough, Ontario M1V 1V2

At Once Upon A Child Scarborough, we are committed to a policy of equal treatment and opportunity in every aspect of our employment relations without regard to race, ancestry, place of origin, ethnic origin, color, citizenship, creed, sex, sexual orientation, age, marital status, family status, disability, or any other legally protected class status. This includes, but is not limited to, recruiting, hiring selection for training, transfers, promotion, compensation, and any company sponsored social and recreational programs.

PLEASE PRINT

Name______Date ______

Present Address______

Address City Province Postal Code

Email Address ______Telephone (______)______

Are you legally entitled to employment in Canada? ☐ Yes ☐ No

Date available to start: ______Amount of hours expected to work: ______

List any friends or family members that work at a Once Upon A Child store: ______

Please fill out the times you are available to work.

Our store hours are: Monday-Saturday 9:30am-8pm, Saturday 9:30am-6pm, Sunday 12pm-5pm

SUNDAY / MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAY / SATURDAY
FROM:
TO:

Upcoming vacations or requests off: ______

Can you perform the primary functions of this job with or without reasonable accommodation? ☐ Yes ☐ No

Are you able to lift 20 pounds and sometimes up and down a ladder? ☐ Yes ☐ No

Are you able to stand continuously for 4 hours? ☐ Yes ☐ No

Can you work a shift without your cell phone? ☐ Yes ☐ No

Can you arrive 10 minutes before your scheduled shift? ☐ Yes ☐ No

Have you ever been reprimanded or terminated at any previous employment for attendance issues? ☐ Yes ☐ No

Have you ever been convicted of a criminal offence for which a pardon has not been granted? ☐ Yes ☐ No

If yes, please explain: (Note - a conviction alone will not automatically bar you from employment.)

______

EDUCATION

HIGH SCHOOL: ______GRADUATED ☐ Yes ☐ No

POST SECONDARY: ______GRADUATED ☐ Yes ☐ No

OTHER: ______GRADUATED ☐ Yes ☐ No

EMPLOYMENT HISTORY

COMPANY: ______DATES EMPLOYED: ______

SUPERVISOR:______PHONE#:______MAY WE CONTACT ☐ Yes ☐ No

JOB TITLE: ______SALARY:______

REASON FOR LEAVING: ______

COMPANY: ______DATES EMPLOYED: ______

SUPERVISOR:______PHONE#:______MAY WE CONTACT ☐ Yes ☐ No

JOB TITLE: ______SALARY:______

REASON FOR LEAVING: ______

COMPANY: ______DATES EMPLOYED: ______

SUPERVISOR:______PHONE#:______MAY WE CONTACT ☐ Yes ☐ No

JOB TITLE: ______SALARY:______

REASON FOR LEAVING: ______

REFERENCES

Name: ______Phone: ______Company: ______

Name: ______Phone: ______Company: ______

*** PLEASE READ ***

All information written on this application is complete and accurate to the best of my knowledge. I understand that any misrepresentation of facts in this application disqualifies me from further consideration - or if employed - is grounds for dismissal. I understand that any employment offer is contingent upon satisfactory references and I authorize Once Upon A Child Scarborough to investigate past employment and education history, as well as references

I fully understand and agree to all statements above

Signature: ______Date:______