Job Application

Name*

First Last

Pronouns*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

When is the best time to contact you?*

Position Applying for:*

When could you start?*

How did you hear about this job opening?*

List Availability*

Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday

If applying for the Substitute Worker position, how many hours/days per week do you want to work?*

Do you have any other outside commitments that may affect your availability?*

Have you ever been interviewed or employed at ACG?*

Yes
No

If yes, what department and what duration of time?

Are you at least 18 years of age?*

Yes
No

Heavy lifting is a part of our business. Are you able to lift up to 50lbs?*

Yes
No

Are you fluent in any Non-English languages?

Employment History

1. Current or Most Recent Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Position Held

Supervisor

First Last

Start Date

End Date

Currently Employed Here?

Yes

May we contact this person?

Duties Worked

Reason for leaving

2. Past Employer

Note: Past Employer information fields may be left blank if this information is included on an attached resume.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Position Held

Supervisor

First Last

Start Date

End Date

May we contact this person?

Reason for leaving

3. Past Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Position Held

Supervisor

First Last

Start Date

End Date

May we contact this person?

Duties Worked

Reason for leaving

4. Past Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Position Held

Supervisor

First Last

Start Date

End Date

May we contact this person?

Duties Worked

Reason for leaving

Supplementary Questions

What inspired you to apply for a position at ACG?

ACG is a rare work environment in which all staff have a voice and opportunity to participate in the processes that shape the co-op. If you have any experience with consensus or group decision making, please detail it here.

Many of our staff work in a variety of departments, teams, and committees. Please describe how you balance varying workloads and responsibilities.

Communication is vital in collectively managing a business. Please describe your style of giving feedback and tell us how you best receive feedback. Include any trainings or instances in which you participated in conflict resolution, mediation, or any other forms of alternative communication.

Customer service can be uniquely challenging. Please describe how you handle difficult customer service situations.

Where do you see yourself in five years?

Signature of Applicant

Today's Date

Optional: Upload a resume and/or cover letter

Drop files here or

Accepted file types: pdf, doc, docx, odt, ott, odf, Max. file size: 512 MB.

The Alberta Co-op is an equal opportunity employer.

Job Application

Employment History

Supplementary Questions

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