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Tim Hortons Job Application Form

Application for a position at any Tim Horton’s Coffee Shop across the USA and Canada entails the completion of this form. Accomplished form must be submitted to the desired site.

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MY PERSONAL INFORMA TION 
MY EMPLO YMENT  HISTORY 
EDUCATION & A CTIVITIES	
Please specify level of education completed: 	
MY AVAIL ABILITY & JOB POSITION  (
PLEASE CHECK ALL THA T APPLY)
 	
Current /Most Recent Employer
What hobbies and/or activities are you involve d in?	
Supervisor:
Position/Duties:
The  unders igned  ackn owledges  th at  the  forego ing  sta temen ts  and  informat ion  fu lly  and  tru thf ully  set  fort h  the  true  an d  accura te  personal  information  of  the  applicant  as  of  the  date  here of. The 
under signed f urther ac knowledges t hat for the purpo se s of de termi nin g t he s uit abil it y o f the u nders igned fo r the  po sit ion applied f or, an in ves tig a tio n m ay b e made wi th respect to releva nt inform atio n. 
The unde rsigned her eby consents t o T he TDL Group C orp . o r its  affi liate s o r age n ts col le ctin g a nd r etain ing such inform ation and c onductin g f urth er inve stig ation s w ith re sp ect to releva nt information . 
The undersigned furt her consen ts to the upda tin g of th is inform atio n from ti me to ti me, as nec essary.    
Please exclude any reference to any organization which could indicate race, religion, marital status, age, colour, gender, ancestry, political beliefs, sexual orientation, place of origin, physical disability, 
mental disability, or handicap. 
First Name: 
Last Name:
Street Address:
City: Postal Code: 
Province:
Home Phone #:  Email:	Cell Phone #: 	(    ) 	
(    ) 
(    ) 	
(     ) 	
Are you legally eligible to work in Canada? 	NO 	YES	
NO 	YES	
NO 	YES	
NO 	YES	
Have you ever worked at a Tim Hortons before? 
If so, which location?  Store #:
Why did you leave? 
S IGNA TU RE  D
ATE	
Phone Number:
Can we contact this company? 	
Previous Employer	
Supervisor:
Position
/Duties: Phone Number:
Can we contact this company? 
Date of Application:	Date A
vailable to Start:
How did you hear of this opportunity?	
If you were referred, please give the name of the employee that referred you:
POSITION ST A TUS	
Storefront
Production
Shift  Supervisor
Assistant Manager
Store  Manager Mon
From T o T
ue Wed Thu FriSatSun	
Full-time
Part-time
Seasonal
Pay Expectations: HOURS OF A
VAILABILITY	
REFERENCES	
List any references not given above. Please do not list relatives.	
NAME OCCUPATION RELATIONSHIP	PHONE NUMBER	
APPLICA TION  FOR EMPL OYMENT	
Company:	Start Date: End Date:	
Company:	Start Date:End Date:	
Reason for Leaving: 	Starting Pay: Ending Pay:	
Reason for Leaving: 	Starting Pay: Ending Pay:
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