Position Applying For:

Expected Wage:

* Last Name:
* First Name:
* Middle Name:
* Phone Number:
* Address:
* City:
* Province:
* Postal Code:
* Emergency Contact Person:
* City:
* Phone Number:
* Are you legally eligible to work in Canada?
Yes No
 * Are you willing to work at any Santa Lucia Pizza location?
Yes No
 * Preferred location:
* Have you ever worked for Santa Lucia Pizza before?
Yes No
 If you answered yes tell us when:
And at which location:
Your position when you left:
* Were you referred by someone?
Yes No
 If you answered yes then who:
EMPLOYMENT HISTORY ( Most recent employer first )
* Are you currently employed anywhere?
Yes No
 Do you plan to keep working there if you are
hired by Santa Lucia Pizza?
Yes No
* Dates Worked:
* Company Name:
* Phone:
* Last Wage:
* Supervisor:
* Job Title:
* Reason For Leaving:
Dates Worked:
Company Name:
Phone:
Last Wage:
Supervisor:
Job Title:
Reason For Leaving:
Dates Worked:
Company Name:
Phone:
Last Wage:
Supervisor:
Job Title:
Reason For Leaving:
EDUCATION RECORD
* High School:
Area Of Study:
* Highest Grade Completed:
Business/Technical School:
Area Of Study:
Diploma or Degree:
University
Area Of Study:
Diploma or Degree:
* Are you in school now?
Yes No
 * Do you plan to return to school?
Yes No
 If you answered Yes, when:
Other Courses or Certificates:
* YOUR AVAILABILITY
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
* Hours of availability:
* Employment Type:
Full Time Part Time Temporary
I HEREBY DECLARE THAT THE FORGOING INFORMATION IS TRUE AND COMPLETE TO MY KNOWLEDGE. I UNDERSTAND THAT A FALSE STATEMENT MAY DISQUALIFY ME FROM EMPLOYMENT OR CAUSE MY DISMISAL.
I authorize investigation of all statements contained herein. I further authorize all individuals, companies, and motor vehicle agencies to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you.
* I agree to the above terms as listed
Yes No