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Taco Bell Job Application Form

An individual who wants to join Taco Bell as a store employee must fulfill this form. Completed copy of this form must be handed to the store manager or supervisor.

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HR-001FR 	
EMPLOYMENT APPLICATION 	
 	
Date: 	Date available to begin work: 	Employment Desired: 
 	
F  Part-Time            F  Full-Time 	
Position being applied for: 
 	 	
Preferred Location (1	st Choice): 	
 	
Preferred Location (2	nd Choice): 	
 	
Personal Information 
Last Name 	First Name 	Initial 	
Street Address 	Apt. No. 	
City 	Province 	Postal Code 	
Home Telephone No. (            ) 	Work Telephone No. (            )                                                         Ext. 	
Are you legally eligible to work in Canada?                                                                                                                                                                          Yes/No 
Have you ever been convicted of a criminal offence involving theft, fraud or other similar offences for which you have not been pardoned?                  Yes/No     
If applicable, are you eligible to serve liquor in the province that you are applying to work in?                                                                                          Yes/No (British Columbia, Saskatchewan, Nova Scotia, NFLD & Labrador, PEI, New Brunswick, Inuvik– 19 years old, Alberta, Manitoba, Ontario, Quebec – 18 years old)             
Have you ever been employed at a Pizza Hut, KFC, Taco Bell restaurant?                                                                Yes/No If yes, where? ___________________________________________   Date of Employment From:  ______________________To: _____________________   Who was your Manager? 
Hours Available  	Mon 	Tues 	Wed 	Thurs 	Fri 	Sat 	Sun 	
From: 	 	 	 	 	 	 	 	
To: 	 	 	 	 	 	 	 	
Education 
Name of Program 	Levels of  Completion 	No. of Years Attended 	Did you graduate? 	Degree Received 	
 	 	 	 	 	
 	 	 	 	 	
 	 	 	 	 	
Employment Company:  Position/Duties Performed:  	
Address:  Reason for Leaving:  Phone No. (           ) 	
Name of Supervisor:  Employed From:                          To:  Starting Pay: $                             Ending Pay: $ 	
Company:  Position/Duties Performed: 	
Address:  Reason for Leaving:  Phone No. (           ) 	
Name of Supervisor:  Employed From:                         To:  Starting Pay: $                            Ending Pay: $ 	
Personal References (not former employers or relatives, exclude Ministers of religion) Name:  	Relationship or Title: 	Phone No. (           ) 	
Name:  	Relationship or Title: 	Phone No. (           )  	
Signature I certify that the above information is correct and understand that falsification is grounds for termination with cause. I authorise the references, supervisors, and educational institutions listed above to give you any information concerning my prior employment or education. I understand that you, as my potential employer, are collecting my personal information on this form and from the references, supervisors and educational institutions listed above to determine my suitability for the position I have applied for and, if I am hired, for the purpose of our employment relationship.  I understand and agree that you, as my potential employer, will use and disclose my personal information only for those purposes or as permitted or required by law.  By signing this form, I consent to the collection, use and disclosure by you, as my potential employer, of my personal information for these purposes.    Name:______________________________________    Signature:_______________________________________       Date:________________________  	 	FILL OUT BELOW AT TIME OF HIRE ONLY 	Social Insurance No. 
 Sex: 
F F 
F M Legal Marital Status: 
F Single                    
F Married Birthdate: 
MM/DD/YY 
 Language: Proficiency Level: 
Verbal 
Written 
Emergency Contact: First & Last Name: 
 
Address: 
 Relationship: 
 
City: Telephone No. 
 
Province:                 Postal Code: 
Hire Information – For Supervisor Use Only Effective Date: 
 Store #  Job Code  Job Title: 
F Hourly   
F Salaried  Rates 
(1)                     (2)                     (3) 
 	
ATTACH COMPLETED TD1 FORM TO CLAIM ANY TAX RELATED CREDITS 	Authorizations Restaurant General Manager                                                     
 
______________________________________________           ____________________________________________      __________________________ 
 Please Print                                                                                    Signature                                                                               Date
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