Employment Application Form

Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for.
Name:*

First NameLast Name
Birth Date

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Walk-InEmployeeNewspaper AdFacebookTwitterCraigslistOther (please specify)
Others:
Upload Resume:

Upload a File

Cancelof
Are you involved in any activities in that would limit your availability? please be specific for times and days that you are not available.*
Job Skills & Training
Describe your skills:*
I graduated High School fromif yes: name and location. Date Yes No
Grade- If Currently in School-
Technical/Academic Education
Name/Location
Years Attended/ Degree or diploma
Course of Study]
Previous Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Description
Reason no longer Employed here
On Site Job Reference Name
Dates Employed

MonthDayYear
Date
Previous Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates Employed

MonthDayYear
Date
On Site Job Reference Name
Job Description
Reason no longer Employed here
Previous Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates Employed

MonthDayYear
Date
Job Description
Reason no longer Employed here
On Site Job Reference Name
References Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What Sports or Activities are you involved in?
What is your availability in relation to work hours? (Store hours are 8:30am-7pm)
I am available holidays (Easter, Mothers Day, Valentines Day etc)- Stop here- THESE are mandatory for employment

YesNo then Stop here- THESE are mandatory for employmentOther
I am available weekends-Stop here- THESE are mandatory for employment

YesNo then Stop here- THESE are mandatory for employmentOther
I am able and willing to do moderate lifting and cleaning

YesNoOther
Have you ever been convicted of a crime?

YESNO
Have you ever worked at Wendys Flowers before?

YesNo
Do you have a valid driver license?

YesNoOther
Are you currently employed?

YesNo
Have you applied for a position with Wendys Flowers in the last year?

YesNo
What aspect of this type of job would best fit you and why?
Should be Empty: