Application For Employment Page 4

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Are you legally entitled to work in Canada?
Yes
No
Have you ever been convicted of an offence under the Criminal Code of Canada, of any other
country or state, or under any statute of any Province of Canada, for which you have not been
pardoned and which may have some bearing upon the position for which you are applying?
Yes
No
For what position are you applying?
How did you happen to apply for a position at our store?
Are you acquainted with anyone working at our store?
(If so, please give their name, position and length of acquaintance.)
Yes
No
Have you ever been employed by Home Hardware?
Yes
No
If yes, when?
In what location?
In what position?
PLEASE READ CAREFULLY BEFORE SIGNING
I certify that the information contained in the above employment application and any document annexed to it is complete, exact and truthful in every respect. I
understand that it is on the basis of the completeness, exactitude and truth of such information that any offer of employment might be extended. I understand and accept
that any omission or untruth in these respects shall be considered sufficient cause for dismissal.
I hereby consent to the conduct of a personal background check by Home Hardware or their agents in connection with this application, relating to the position for which
I am applying.
I agree that Home Hardware can contact the above work references and work history employers.
I consent to the release and communication to Home Hardware or their agents of any information, whether personal information or otherwise, contained in any file that
any former employer, learning institution or enterprise may have or may have had about me that relates to this application.
I understand that any offer of employment is conditional upon my successfully passing a probationary period for the first 3 months worked, during which time I can be
terminated at the discretion of Home Hardware without notice or severance pay. After that, I agree that as full entitlement for notice or severance pay will be the full
notice or pay in lieu of notice, if any, required by the Provincial Employment Standards Act.
The retail market requirements for scheduling of work and how this may affect my hours have been explained to me. I realize that my employment may be terminated if
I refuse to accept a day or shift assignment that I have previously agreed to work. Reasonable accommodation, short of undue hardship, will be made for mandatory
religious observance.
Furthermore, if hired, I agree and promise to respect and adhere to all Home Hardware policies and regulations, and that if and when required shall enroll in other
required benefits as soon as I become eligible.
If I am hired, I authorize Home Hardware or their agents to proceed with any reasonable search either of my person, my personal effects, or my locker situated on
Company premises, as may be required by them.
All of the above forms constitute an integral part of my Application for Employment, dated _____________________________________.
I have carefully read, and agree to the above.
Signature
Date and Place of Signature
Social Insurance Number (optional)

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