Application for Employment

Title
First Name *
Initial
Last Name *
Email Address *
Date of Application: *
Home Address *
City *
Province*
Postal Code *
Country *
What Area are you applying for:	Regina - North Regina South Regina - East Regina - West Regina - Central Estevan Fort Qu'Appelle Moose Jaw Swift Current Medicine Hat
Position Applied for: *
Expected Salary:
Referred by:
Date Available: *
Realated to anyone in this company?
Looking for: *	Part Time \| Full Time
Number of Hours Available per Week:
Preferred Shift: *	Daytime \| Evening \| Anytime
Available during School Vacations:	Full \| Part \| None
Are you legally entitled to work in Canada?	Yes \| No
Have you ever been convicted of a criminal offense for which you have not been pardoned?	Yes \| No
Have you ever been discharged from a job?	Yes \| No
Have you ever worked for Houston Pizza before?	Yes \| No
Has your driver's license ever been suspended?	Yes \| No
If you answered "Yes" to any of the above, Please explain:
Attach Resume (100Mb Limit *) Please include information on your last 3 job positions. Including company name & phone number, supervisors name and position, dates worked and salary.
Enter Word Verification form Image in Space Below *
* Required

Houston Pizza Franchise Ltd.
1-3422 Hill Avenue
Regina SK S4S 0W9

Franchise Office
ph. 306.757-8288
fax. 306.790-1838
E-Mail. Click Here