Sears Application For Employment Page 2
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1
2Work Related Skills/Previous Employment
(Beginning with present/last employer)
Name and Address of present/last employer
Present/last job title
Period of employment
From:
To:
Name of Supervisor
Telephone
(
)
Final Salary
May we approach for references
?
Yes
No
Type of Business
Reason for leaving
Duties/Responsibilities
Name and Address of previous employer
Previous job title
Period of employment
From:
To:
Name of Supervisor
Telephone
(
)
Final Salary
M ay we approach fo r r e fe r e n c e s
?
Yes
No
Type of Business
Reason for leaving
Duties/Responsibilities
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.
Signature
Date
Have you attached an additional sheet/resume?
Yes
No
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Parent category: Business