Job Application Form

General Information

First Name:*

Last Name:*

Address:

City:*

Province:

Phone Number:*

Email Address:*

Confirm Email Address:

Which location are you applying for? (select all that apply):*

Department of Interest:

Attach your resume:*

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Attach your cover letter:

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Is your age at least 15 years?*

Yes
No

Are you legally entitled to work in Canada?*

Yes
No

Desired wage:

Are you looking for Part-time or Full-time work?

What days can you work?*

Have you previously worked with Country Grocer?

Yes
No

If you were referred to work with us, who referred you?

Employment History

Name of Current or Previous Employer:*

Address:*

City:*

Province:*

Postal Code:

Postion Title:*

From Month:

From Year:

To Month:

To Year:

Reason for Leaving:*

Supervisor's Name:

Supervisor's Phone Number:

Acknowledgement and Agreement

I hereby authorize Country Grocer to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I authorize my current employer and all previous employers and organizations contacted by Country Grocer to provide any relevant information regarding my current and/or previous employment and I release all such persons and/or employers of any and all claims for providing such information. I acknowledge that my employment with Country Grocer may be with any one of Country Grocer’s affiliated companies and agree that I may be transferred between stores from time to time without a change in my terms of employment. I will follow all Country Grocer’s policies and that failure to do so may result in administrative or disciplinary action and/or my employment being terminated. I understand that I may be required to sign a confidentiality agreement should I become an employee of Country Grocer. I understand that upon being offered a position a bonding check may be conducted. I certify that the information given by me in this application is true and complete to the best of my knowledge. I understand that if I am employed, if any such statement on this application is at any time found to be false, such information may be cause for immediate dismissal.

I acknowledge and agree to these terms and conditions.

To the Applicant:

Country Grocer is an equal opportunity employer dedicated to a policy of non-discrimination in employment on any basis including race, ancestry, place of origin, political belief, religion, marital status, physical or mental disability, gender, age, or any other basis prohibited by federal or provincial law. We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. Our goal is to employ people who are interested in working in a team environment, who want to keep learning and growing as individuals, and who truly enjoy being around lots of other people.

What is the answer?

Phone

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Join our team. You’ll Feel Like Family.

General Information

Address:

Employment History

Acknowledgement and Agreement

To the Applicant: