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Employment Application Form

Job Application Form

  • Date Format: MM slash DD slash YYYY
  • Please check all that apply.
  • Please check all that apply.
  • Please check all that apply.
  • Our retail operation has several different types of positions. Each position has essential job functions. Please check all that apply.
  • Please indicate highest level of education completed.
  • Please provide the names of three (3) business references, starting with your most recent job. If you do not have any employment-related references, please list one (1) personal reference (do not include relatives).
    Company NamePhoneAddressDate EmployedPositionDutiesReason for Leaving 
  • I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I understand that, if employed, falsified/eliminated statements contained on this application shall be considered sufficient cause for dismissal.
    Signature (print name)Date

Hours of Inspiration

Open Online 7 Days A Week

Curbside Pickup Hours
Monday-Friday / 9am-4:30pm

Shelmerdine Garden Centre Ltd.

7800 Roblin Boulevard
Headingley, MB R4H 1B6

Phone: 204.895.7203
Fax: 204.895.4372
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