Fillable Printable Sears Employment Application Form

Sears Employment Application Form

Last Name:First Name:

Address:

NumberStreetApt.No.

CityProvincePostal Code

Telephone:Home: ( )Cellular:( )

Email Address:Business:( )

Are you legally eligible to work in Canada?YesNo

(If “Yes” proof required upon offer of employment)

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

Have you ever been employed by Sears Canada Inc?YesNo

If ‘Yes’please advise:Unit:Start Date:Leaving Date:

What kind of work are you interested in?:

Are you a student?YesNoPart-time StudentFull-time Student

Note:For many positions you are required to be available for a minimum of three occasionsper week.Please check

your availability below:

APPLICATION FOR EMPLOYMENT

Personal Data

(Applicants must be a minimum of 16 years of age to apply)

Position being applied for:Would you accept:Full Time

Part TimeSeasonal

All DaysMonTuesWedThursFriSatSun

Morning

Afternoon

Evening

Night

SpokenWritten

French

English

Other

(specify)

Languages

To determine your qualifications for employment, please provide below and on the reverse, information related to your

academic and other achievements including employment history as well as voluntary work.

Education –

(Last School Attended)

Public School High School College University Other Explain:

Name of SchoolGrade completedYear Completed:

or Degree Received:MonthYear

Other courses, workshops, seminars, volunteer workLicenses, Certificates, Degrees

10811 REV. 06/05

Type of BusinessReason for leaving

I hereby declare that the information contained in this Application for Employment is true and complete to my knowledge.

I understand that a false statement may disqualify me from employment, or may cause my dismissal for cause.

I hereby consent to the collection, use and disclosure of the information provided in this Application for Employment for

the purposes of verifying any such information whether to hire me.

I hereby authorize Sears Canada Inc.(“Sears”) and/or a firm retained by Sears to use and/or disclose the information

mentioned in this Application for Employment for the purposes of verifying any such information,

I hereby authorize Sears and/or a firm retained by Sears to collect my personal information and/or conduct any

investigation relevant to my application for employment for the purposes of Sears’determination with respect to my

application for employment.

I acknowledge and consent to this investigation being carried out by telephone or in writing with others at educational

institutions, former employers, or my current employer, who are all hereby authorized to disclose the information to Sears.

SignatureDate

Have you attached an additional sheet/resume?



Yes



Work Related Skills/Previous Employment

(Beginning with present/last employer)

Name and Addressof present/last employer

Present/last job title

Name of Supervisor

Final Salary

Period of employment

From:To:

Telephone

( )

Mayweapproach forreferences

YesNo

Name and Address of previous employer

Previous job title