Barb's Place Seafood Restaurant Victoria BC

Employment Application

Last Name   First Name :
Phone Number   Are you over the age of 16 years? Yes or No
Email   Are you legally authorized to work in Canada? Yes or No
Address (Street)
City   Province
Postal Code      
Are you currently employed?   Your present occupation
   
Please list the hours that you are available for work
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
How many hours a week would you like to work   Are you looking for full time or part time work.
When are you available to start work?   Would you accept part time Yes or No
Regular attendance and punctuality are important at Barb's Place. Are you able to attend reliably and on time? Yes or No   How long would you like to work with Barb's Place?
Do you have any previously planned vacations or extended time off periods?   Do you have a BC FoodSafe Certificate? Level 1 Level 2 or No
Education Name and Location Years Completed Interests / Studies
High School
Post Secondary
Other
Please list your last three employers, starting with the most recent
Dates Employed Company and Address Position and Duties Supervisor & Phone # Pay Reason for leaving
May we contact your current and past employer(s) for a reference? Yes or No      
Please list any volunteer work you have done or other experience you feel is relevant
Please list at least two references (other than family or friends)
Name   Name
Position / Occupation   Position / Occupation
Phone Number   Phone Number
How did you hear about this position? If you were referred by a Barb's Place employee, please type the employee's name
What are the top three reasons you would like to work for Barb's Place?
1.
2.
3.
What are three characteristics you believe are found in a great staff member?
1.
2.
3.
Are you confident that you either possess these characteristics or have the ability to learn them? Yes or No
At this job, the highest standard of personal and workplace hygiene is required. Are you willing to maintain this? Yes or No
Assume you are working at Barb’s Place. There may be times when another worker gets sick or we need you to come in right away – it may be Sunday morning or Friday night, and you may have plans - would you be available? Yes or No
We have a strict attire policy. Are you prepared to adhere to our dress code at all times? Yes or No
Is there any other information about you that you feel we should know about?

I declare that the statements made in this application form are true and accurate.

Today’s date MM/DD/YY)

   
Thank-you for taking the time to complete this application. We will contact you by email. Your information will be kept on file for one year, and then destroyed. Please do not apply more than once in a calendar year.