·Employment Application Form·

Privacy Act

You are providing this information as required by the Hotel Guest Registration Act for use by Bella Pacifica Campground.
You may withdraw this consent at any time by notice to the designated privacy officer in writing.

Mail

Bella Pacifica Campground
Attn: Human Resources
P.O. Box 413
Tofino B.C. Canada
V0R 2Z0

Fax

Attn: Human Resources
250 725 2400

List Position(s) Applied For In order of preference:
Dates Available (Minimum Commitment):
Please list all the following schedule options that you would be available for:
Full Time/Part Time Permanent/Seasonal/Temporary Shift Work/Weekend Work

Surname:
First Name:
Address:
City:
Prov/State:
Postal/Zip:
Email:
Area Code/Telephone:
Are you legally entitled to work in Canada? Yes No
Please complete the following if applicable:
Work Permit Number:
Expiry Date:
Are you at least 18 years of age? Yes No
If not, when will you turn 18?(d/m/y)
If you hold a valid Driver's License, please name issuing province:
If you do not hold a valid Driver's License, please check here:
Give names of friends or relatives in our employ (if applicable):

Trade Papers:	Yes No
Specify Trade:

Hobbies:

LANGUAGES	* Please complete only those languages that apply to you.
	1. A Little	2. Well	3. Excellent
	Speak	Write	Read	Understand
English
French
German
Other

Employment History - List Most Recent First

Date From:		To:
Firm:
Address/City:
Telephone:
Supervisor's Name:
Job Held:		Salary:
Reason for Leaving:

Date From:		To:
Firm:
Address/City:
Telephone:
Supervisor's Name:
Job Held:		Salary:
Reason for Leaving:

Date From:		To:
Firm:
Address/City:
Telephone:
Supervisor's Name:
Job Held:		Salary:
Reason for Leaving:
May we contact your present employer? Yes No
Contact:
Have you ever been employed by Bella Pacifica Campground? Yes No
If yes, when?

List any physical problems or allergies that could affect employment:

Please enter any other pertinent information: