Applicaton for Employment - Country Junction - Wetaskiwin Co-op Association

Online Application for Employment

If you believe you are a qualified applicant for employment with the Wetaskiwin Co-op Association Ltd. we encourage you to apply online.

Download the Application Form to Submit by Email, Fax, Mail or Delivery in Person

Where a field is required "n/a" (not applicable) will be acceptable. Upon completion and before submitting this application please check the application for errors as you cannot make changes once the application has been submitted. You may wish to print this page for your own records before submitting it. If you have a resume there is an option for uploading it within this application.

If your application was sent successfully you will be directed to a confirmation page.

		APPLICATION FOR EMPLOYMENT
	The information on this application form will be used to evaluate your suitability for employment. If hired, the information will be used to communicate with you on any matters relating to your employment and to determine your suitability for future promotion within the Co-operative or the Co-operative Retailing System. Please carefully read and complete all areas of this application and agree to the authorization and personal consent section before submitting.


	N A M E
	Last	First	Second


	A D D R E S S			Postal
	Number and Street	City or Town	Province	Code	T e l e p h o n e
					Day
					Cell


	Have you ever been convicted of an offense (other than a traffic violation) for which a pardon has not been granted?	If Yes, explain	Are you presently bondable? Yes No Has your bond ever been revoked? Yes No
	Yes No	If Yes, explain

	Do you have a disability or condition which will affect your ability to perform any of the functions of the job for which you have applied?	If Yes, explain what functions you cannot perform and what accommodations could be made which would allow you to the do work adequately,		Are you legally entitled to work in Canada? Yes No
	Yes No

	Location Preferred	Reason		If necessary would you accept a transfer?
				Yes No
	Type of Work Preferred
	1.	2.		3.

	Date Available	Preference for (if applicable)		Availability
		Full-time Part-time Casual		Days Evenings Weekends

	Salary Required	Who referred you to our organization?


	E D U C A T I O N
		DATES ATTENDED		SCHOOL NAME & ADDRESS		MAJOR FIELD	ATTAINMENT

	HIGH SCHOOL	From Month	Year	Name		Academic Vocational	Highest Grade Completed
						Other
		To Month	Year	Location	Province	Achieved Required Credits
						YesNo



	COLLEGE OR UNIVERSITY	From Month	Year	Name		Major Field	Specify Degree or Diploma Obtained
		To Month	Year	Location	Province



	BUSINESS, TRADE OR OTHER SCHOOL	From Month	Year	Name		Major Field	Specify Certification Obtained
		To Month	Year	Location	Province

	E M P L O Y M E N T H I S T O R Y (BEGIN WITH THE MOST RECENT)
Select the number of the employer you do not wish us to contact at this time. 1 2 3

1.	Company Name			Telephone #

	Street Address		City	Province	Postal Code

	Type of Business Position Full-time Part-time Temporary		Nature of Duties from Start to Leaving

	StartingSalary	Current Salary	Reason for Leaving		Immediate Supervisor
					Name
	Employed From
	Month	Year			Title
	To Month	Year

	No. of People Supervised


2.	Company Name			Telephone #

	Street Address		City	Province	Postal Code

	Type of Business Position Full-time Part-time Temporary		Nature of Duties from Start to Leaving

	Starting Salary	Final Salary	Reason for Leaving		Immediate Supervisor
					Name
	Employed From
	Month	Year			Title
	To Month	Year

	No. of People Supervised


3.	Company Name			Telephone #
	Street Address		City	Province	Postal Code

	Type of Business Position Full-time Part-time Temporary		Nature of Duties from Start to Leaving

	Starting Salary	Final Salary	Reason for Leaving		Immediate Supervisor
					Name
	Employed From
	Month	Year			Title
	To Month	Year

	No. of People Supervised

	O T H E R T I M E		Account for your time during any interval of unemployment other than when you were attending school. (You may decline to list any illnesses or leaves of absences relating to disability)

	Date (Month and Year)						Explanation
	From			to
	From	Month	Year	to	Month	Year

	From			to
	From	Month	Year	to	Month	Year


	R E F E R E N C E S	Give three personal references who have known you well during the last five or more years excluding relatives and former employers.
	Name (Include first name or Initials)	Address No. and Street City or Town Province	Telephone	Years Known	Present or Most Recent Occupation

	A D D I T I O N A L I N F O R M A T I O N
	Co-op background, interests, extracurricular activities, special skills such as equipment operated, languages spoken/written, computer skills, academic honor, scholarships, etc. (You may decline to list organizations that would depicts your race, religion ancestry or disabilities)



	A P P L I C A N T S D E C L A R A T I O N A N D B A C K G R O U N D A U T H O R I Z A T I O N
	Email Address Resume Attached: Yes No Make sure your file is in a "Word" or "PDF" file format I hereby consent to the collection of the information in this application and to its use for the stated purposes. I also consent to have an investigation of work and personal references, criminal record and credit. In signing this application, I understand that any misrepresentation or omission of facts is cause for cancellation of this application or termination of employment. I hereby release from liability any person giving or receiving such information.

		Co-op Country Junction 4707-40 Ave Wetaskiwin, Alberta T9A 2B8 780-352-9121 Toll Free: 1-877-567-0777
		Copyright 2004 - all rights reserved Privacy Policy - Legal Notice - Contact Us - Site Map Table of Contents - Management Team 19-Jul-2010