MCCAIN FOODS LIMITED
39 King St W, Toronto, ON M5V 1K4, Canada.
EMPLOYMENT APPLICATION
Should you need reasonable accommodation when completing the application form or during the selection process,
contact the Human Resources Department.
Please Print. Today’s Date
GENERAL INFORMATION
Name
Last First Middle
Present Address ___________________________
Present Address
Street City State Zip Code
Home Telephone Number ( ) Message Number ( )
Email Address _______________________________
EMPLOYMENT DESIRED
Position Applied For
Do you want to work: Full-time Part-time Temporary
Specify days and hours available, if part-time
Date available to start work Salary Expectations
Have you applied for employment with this company within the last 12 months?
Yes No
Have you ever worked for us before? Yes No
(Please provide your name of record at that time,
job title and dates of employment)
EDUCATION
List education if it is related to the job for which you are applying.
High School Technical College College Graduate School
School Name and
Location
Years Completed (Circle) 9 10 11 12 1 2 1 2 3 4 1 2 3 4
Did You Graduate? Yes No Yes No Yes No Yes No
Diploma/Degree/
Certificate
SPECIAL SKILLS/ADDITIONAL TRAINING
Please describe any special job-related skills and qualifications acquired from
employment, other education or volunteer experiences, etc. Do not include experiences
which would indicate race, color, creed, religion, sex, sexual orientation, national origin,
marital status, Vietnam-era veteran status, special disabled veteran status, status with
regard to public assistance, membership or activity in a local commission, disability or
age.
MISCELLANEOUS
Have you ever been convicted of a misdemeanor or felony? Yes* No
If yes, please provide date of conviction, state and county and describe circumstances
Has your employment with any employer ever been involuntarily terminated? Yes No
If yes, please identify the employer, date of termination and reason for termination:
*A conviction is not an automatic bar to employment. The type, seriousness, frequency of violations, recency,
relevancy, work history, education and other circumstances will be considered.
EMPLOYMENT HISTORY
(Please Start With Your Present or Most Recent Position)
NAME OF EMPLOYER: ADDRESS:
TELEPHONE NUMBER( ) POSITION:
DATES EMPLOYED: FROM: TO: NAME AND TITLE OF SUPERVISOR:
REASON FOR LEAVING:
BRIEF DESCRIPTION OF YOUR WORK AND RESPONSIBILITIES:
May we contact this employer? Yes No
NAME OF EMPLOYER: ADDRESS:
TELEPHONE NUMBER( ) POSITION:
DATES EMPLOYED: FROM: TO: NAME AND TITLE OF SUPERVISOR:
REASON FOR LEAVING:
BRIEF DESCRIPTION OF YOUR WORK AND RESPONSIBILITIES:
May we contact this employer? Yes No
NAME OF EMPLOYER: ADDRESS:
TELEPHONE NUMBER( ) POSITION:
DATES EMPLOYED: FROM: TO: NAME AND TITLE OF SUPERVISOR:
REASON FOR LEAVING:
BRIEF DESCRIPTION OF YOUR WORK AND RESPONSIBILITIES:
May we contact this employer? Yes No
NAME OF EMPLOYER: ADDRESS:
TELEPHONE NUMBER( ) POSITION:
DATES EMPLOYED: FROM: TO: NAME AND TITLE OF SUPERVISOR:
REASON FOR LEAVING:
BRIEF DESCRIPTION OF YOUR WORK AND RESPONSIBILITIES:
May we contact this employer? Yes No
REFERENCES
Please provide the names of three business references who are not related to you. If you
do not have any employment-related references, please list individuals who can comment
on your work skills.
Years Known and In
Name Phone Number Address
What Capacity
1.
2.
3.
SIGNATURE
APPLICANT: Please read the following carefully before signing this application.
I certify the information given by me is true in all respects.
I understand that the misrepresentation or omission of facts on this application, on
my resume or during any stage of the hiring process will eliminate me from further
consideration or if discovered after hire may result in the termination of my
employment.
I understand that the information contained in this employment application or my
being invited to participate in any stage of the hiring process is NOT intended to
create an employment contract between this Company and myself. If an employment
relationship is established, I understand that I have the right to terminate my
employment at any time, for any reason or no reason, with or without notice, and this
Company has the right to terminate my employment at any time, for any reason or no
reason, with or without notice. This Company’s policies and procedures, including
employment at- will, cannot be modified in any way without express written intent to
do so by the President of this organization.
I understand that an offer of employment is contingent on my providing sufficient
documentation necessary to establish my identity and eligibility to work in the
United States.
Unless otherwise noted above, I authorize this Company and its representatives to
contact my prior employers, former supervisors and company personnel, schools and
all others for the purpose of verifying the information I have supplied during the
selection process and for obtaining job-related information regarding my knowledge,
skills, abilities, performance of duties and compliance with policies. I authorize my
prior employers to provide this Company any job-related information, personal or
otherwise, they may have regarding me and I release this Company and them from
any liability resulting from the release of this information. I further authorize all
employers, schools and other persons to provide any information or transcripts that
may be requested by this Company which will be used to determine if I am qualified to
perform the job duties for which I am applying.
I understand that all Company property must be returned and any indebtedness to
the Company must be paid on or before my last day of work. I authorize the
Company to deduct from my final paycheck an amount necessary to satisfy any
unpaid obligation.
By signing below, I acknowledge that I have read, understand and agree with the above
statements.
Date (Signature of Applicant)
