Employment Application

Name:

Email Address:

Address:

City:

State:

ZIP:

Phone Number:

Cell Number:

Position(s) Desired:

Salary Requirement:

Please select the type of employment you would prefer:
Part Time
Full Time
Seasonal Spring
Seasonal Holiday

PICK SOMETHING

Date you can start:

Are you employed now? Select: Yes No

   May we inquire of your present employer? Select: Yes No

Have you ever applied at Ray Wiegand's before? Select: Yes No

   Which location and what year?

Are you currently studying? Select: Yes No

   What was the highest level of education completed?
Secondary
Higher Education

   What level are you currently studying?
Secondary
Higher Education

Please list any training courses or qualifications that you are currently taking or have completed:

Please list any achievements you have earned (i.e. employment, education, personal or sporting):

Please list your hobbies, interest or other involvements:

Please indicate the days and times you are able to work. Please note that you are not necessarily being asked to work all of the hours you are available. This information enables us to search opportunities based on your availability.

DayStartFinish

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Please indicate the amount of hours you are willing to work in a 7 day period:

Please list your employment history, if applicable:

What do you percieve as good customer service?

What are some of your traits that make you an ideal candidate for a customer service position?

What does teamwork mean to you?

Describe your technical skills or equipment you have operated.

Please list the details of 2 employment references who can be contacted. If employment references are not available, references may include a contact from school or a family friend.

Do you have a pre-existing illess or injury that may impact your ability to safely perform the requirements of the position(s) for which you have applied? Select: Yes No

Please disclose the details of how the illness or injury might affect your ability to safely perform the role(s). (Ex. Lifting, carrying, bending, pulling, twisting, standing or sitting)

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any petrinent information they may have, prsonal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date on my wages and salary, be terminated at any time without prior notice.