Moose Winooski's - Employment Application

Moose HQ
(519) 653-9660
Kitchener
(519) 653-9660

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Barrie
(705) 727-0077

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Brantford
(519) 751-4042

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Employment - Application

Please read the online application carefully. Take your time, and fill out all information accurately.
Fields marked with * are required fields.

First Name* Mid. Initial Last Name*

Address* Apt #

City* Province* Postal Code*

Day Phone* Evening Phone Email

Alternate Phone Cell Beeper

Emergency Contact Phone

Please answer ALL of the following questions.

1. Please select the following position(s) you are applying for:

Bartender

Prep Cook

Busser

Dishwasher

Host

Management

Line Cook

Server

Pantry

Expeditor

Other

2. When are you available to start? At which location?

3. What is the minimum amount of money you would like to make? $ /hour $ /week

4. Are you presently or have you ever been employed by any of our affiates?

Soul of the Vine	Al Frisco's	Walt's Grill & Bar	Canyon Creek	Leoni's
Jack Astor's	Armadillo	Alice Fazooli's	Far Niente	Reds

- If yes, please list most recent's location and manager's name

5. Do you have the legal right to work in Canada?	Yes No
6. If hired, do you have proof of canadian citizenship?	Yes No
7. Are you of legal age to serve alcohol (19)?	Yes No
8. If hired, can you submit proof of age?	Yes No
9. Have you passed provincial certification to serve alcohol?	Yes No
- If yes, what is your PIN Number?
10. Have you been WHMIS certified? (If yes, proof required)	Yes No
11. What kind of hours are you looking for?
12. Do you have a current job that you intend to keep?	Yes No
13. Some shifts at our restaurant begin as early as 8:00am and end occasionally as late as 4:00am. Do you have adequate transportation to and from work for the days you are available? (Please see job descriptions for more details)	Yes No
14. We are open 364 days a year (closed on Christmas). Are you able to work holidays and weekends?	Yes No
15. We may conduct training on days or times you have other obligations. Is your schedule flexible enough to attend such training sessions?	Yes No

16. How many jobs have you held in the past 2 years?
0 1 2 3 4 5 or more

17. How many jobs have you been terminated from? (i.e. let go from)
0 1 2 3 4 5 or more

18. Below, please indicate the earliest start time and the latest end time times you can work throughout the week. Account for travel time to and from work. Being in uniform and ready to start your shift is mandatory.

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Start:
End:

19. What commitments do you have, or do you anticipate, that may affect your schedule? (school, sports, outside interests, hobbies)

20. Education

High School Last Grade Completed

Post Education

Major/Specialty Degree Recieved (if any)

Dates attended - From: To:

21. Work History (List only your last 3 jobs)

Job Title	Company Name	Address	List of Responsibilities
Supervisor's Name	Supervisor's Phone #	Can we contact him/her? Yes No	Date of Employment From: To:
Hours Worked per week	Reason for leaving	Weekly earnings
Job Title	Company Name	Address	List of Responsibilities
Supervisor's Name	Supervisor's Phone #	Can we contact him/her? Yes No	Date of Employment From: To:
Hours Worked per week	Reason for leaving	Weekly earnings
Job Title	Company Name	Address	List of Responsibilities
Supervisor's Name	Supervisor's Phone #	Can we contact him/her? Yes No	Date of Employment From: To:
Hours Worked per week	Reason for leaving	Weekly earnings

22. Personal References (other than immediate family)

Reference's Name	Phone Number	Relationship	Number of years known
1.
2.

23. Do you understand the basic job requirements of the position applied for?	Yes No
24. Have you read our Welcome to Moose Winooski's brochure?	Yes No
25. Can you perform the essential functions required by the job for which you are applying either with or without reasonable accomodations?	Yes No
26. We have specific requirements for personal appearance, such as good general hygiene, and for men, neatly shaven daily (well-groomed moustache and beard is permitted). Are you willing to meet our requirements?	Yes No

** PLEASE READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING YOUR ONLINE APPLICATION **

I declare that I am qualified to perform all the duties of the position that I am seeking. I also declare that the information I have provided on this application is correct and that any false statements or ommisions will justify my rejection or dismissal. I authorize the company to contact any of my previous employers as well as any reference source to verify the facts and information that I have furnished regarding my qualifications and character. I authorize any person(s) having knowledge to provide such information in good faith. I authorize SIR Corp and its agents to verify any information related to my application or resume.

I UNDERSTAND THAT MY APPLICATION WILL REMAIN ACTIVE FOR 30 DAYS FROM THE DATE RECEIVED. SIR CORP IS AN EQUAL OPPORTUNITY EMPLOYER.

Do you understand the above mentioned? By clicking submit you authorize that the above statement is true.

Yes, I understand