Evaluation
Submission Date
*
-
Month
-
Day
Year
Personal Information
First Name
*
Middle Name
*
Last Name
*
Street Address
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City
*
Province
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Please Select
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Postal Code
*
Phone
*
Email
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Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Qualifications
How did you learn about retailer opportunities?
*
Please Select
Internet
Family
Friend
Job Fair
Trade Show
Newspaper
Referral
None
Do you have any college, university and/or trade experience?
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Yes
No
If "Yes", please describe your college, university and/or trade experience
Do you have any Retail experience?
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Yes
No
How many years of Retail experience do you have?
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1-2
2-5
5+
Do you have experience (past/current) working at a Parkland location?
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Yes
No
Please describe your Retail experience
Do you have any relevant administrative experience?
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Yes
No
If "Yes", please describe your administrative experience
Do you have any relevant supervisory experience?
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Yes
No
If "Yes", how many years of supervisory experience do you have
1-2
2-5
5+
If "Yes", please describe your supervisory experience
Are you a member of any business community organizations or trade groups?
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Yes
No
Are you interested in operating multiple locations?
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Yes
No
If “Yes”, how many years of operating multiple locations experience do you have?
0-1
1-2
2-5
5+
Do you have Quick Serve Restaurant / Food experience?
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Yes
No
If “Yes”, please describe your Quick Serve Restaurant / Food experience.
Do you have experience using an inventory management system?
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Yes
No
If “Yes”, please describe your experience using an inventory management system.
Describe three qualities that will make you a successful retailer
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What amount of capital do you have available?
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$50,000 - $150,000
$150,000 - $200,000
$200,000 - $350,000
$350,000 - $550,000
$550,000 - $750,000
$750,000+
Are you available 24/7 in the event of an emergency?
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Yes
No
Current Employer
Current Employer - Company Name
Current Employer - Position
Current Employer - Type of Business
Current Employer - Dates of Employment
Current Employer - Responsibilities
Current Employer - Reason for leaving
Previous Employer
Previous Employer - Company Name
Previous Employer - Position
Previous Employer - Type of Business
Previous Employer - Dates of Employment
Previous Employer - Responsibilities
Previous Employer - Reason for leaving
Compliance
Do you have any lawsuits pending?
*
Yes
No
Do you have any judgements/liens currently pending against you?
*
Yes
No
If "Yes", please explain
Do you have any criminal convictions for which pardon has not been granted? (be prepared to submit a Criminal Record Check)
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Yes
No
Has any company that you have owned or been associated with, ever declared bankruptcy?
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Yes
No
Have you ever declared personal bankruptcy?
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Yes
No
Relocation
Are you willing to relocate?
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Yes
No
Are you willing to relocate to a rural location and start small to prove yourself?
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Yes
No
What geographical areas are you interested in? (list 3 in order of preference)
Privacy notice and consent
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By submitting this application form, the Applicant confirms that it consents, or if the Applicant is a business, that the principal(s) and/or partner(s) of the Applicant consent, to Parkland Corporation (“Parkland”) obtaining and using the personal information of the Applicant, or any principals or partners of the Applicant, as may be required from time to time in connection with the application applied for herein, or any renewal or extension thereof. Parkland shall not sell the Applicant’s personal information without the Applicant’s prior written consent. The Applicant’s information will be held at Parkland’s Privacy Officer, at the following address: 1800, 240 – 4 Avenue SW, Calgary, Alberta, T2P 4H4, and will be accessible only to employees of Parkland. The Applicant may consult the Applicant’s information held by Parkland and, if applicable, cause same to be rectified. For further information on Parkland’s Privacy Policy or to withdraw its consent pursuant to this paragraph, the Applicant may contact Parkland’s Privacy Officer via www.parkland.ca/privacy, by phone at 1-877-906-6644 or 403-567-2500 or by E-mail: privacyofficer@parkland.ca or if the Applicant requires a copy of Parkland’s Privacy Policy, it may forward the request in writing to Parkland to the attention of the Parkland’s Privacy Officer at the address indicated above. Please be advised that this application form will be valid for a period of six (6) months from date of its submission. If the Applicant wishes to re-apply for a retailer position within Parkland’s network past the six (6) months’ period, the Applicant will be required to fill up the present application form once again.
CASL requirements
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I understand and agree with the Parkland Privacy Policy and Terms of Use and consent to receiving electronic communications, including without limitation newsletters, promotions, updates and other materials, from Parkland; and I am aware that I can unsubscribe to receiving such communications at any time. Parkland can be reached at: 1800, 240-4 Ave SW Calgary, Alberta T2P 4H4. Telephone: 403-567-2500.
Lastly, please upload a recent copy of your resume (optional)
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