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Employment Application Form
 
       Personal Information                          * Required Field
Surname:*
First Name:*
Middle Name:*
Street & No.:*
City:*
Province:*
Postal Code:*
Phone Number:*
E-mail Address:*
Date of Birth:*
 
       Position Applying For
Position:*
Are you interested in:*

Date Available:*
Preferred Salary Structure:*
Have you ever worked for Dairy Queen before?

If "Yes", please indicate where and when:

From:

To:

Location:

 
       Referrer
Who referred you to this job?
Address:
Phone Number:
 
       Resume
If you have a resume, please attach it below: (please continue to fill in the fields below too)
 
       Education History
Highest Grade Completed*
Others (if applicable)
GPA:*
 
       Activities
Class Organizations, Scholastic Honors and Other School Activities (Exclude organizations which indicate race, creed, color, origin, sex
religion disability, or other protected class.)
Hobbies
 
       Employment Record - Most Recent Employer
       Please skip this section if not applicable.
Company Name:
Address:
Employment Dates: From: To:
Supervisor's Name:
Supervisor's Title:
Company Phone Number:
Your Position:
Your Salary:
Reason(s) for leaving:
May we contact this employer?
 
       Employment Record - Previous Employer (before Current or Most Recent)
Company Name:
Address:
Employment Dates: From: To:
Supervisor's Name:
Supervisor's Title:
Company Phone Number::
Your Position:
Your Salary:
Reason(s) for leaving:
May we contact this employer?
 
       Availability
Days Available for Work: Sun Mon Tue Wed Thu Fri Sat
Shift Preference:*
 
       Emergency Contact
Name:*
Phone :*
 
By clicking on the "Submit" button below, I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal. I hereby attest that all statements made by me above are true to the best of my knowledge.


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