Exercise 3

Please see attached PDF

Instructions:

· Circle all of the questions on this fictitious application form that could be directly or indirectly related to a prohibited ground of discrimination.

· Come up with alternative ways for those questions you believe directly or indirectly related to a prohibited ground of discrimination.

Employment Application

About Yourself
Preferred Title: ________ First & Last Name: ______________________________________________ Street Address: ____________________City: _______________ Prov: ______ Postal Code: ________ Phone: (___) ____ – _______ Email: _____________________________________________________ Date of Birth: _____ / _____ / _______ Are you a U.S Citizen? Yes [ ] No [ ] What is your first language? __________________ Can you speak English? Yes [ ] No [ ]
Education and Experience
Secondary School/High School: ___________________________________Graduation Year: ________ Higher Education (circle one; if applicable): College/Trade School/University Program:______________ Name and Address of Most Recent Higher Education Institution: _______________________________ Current/Previous Employer: ______________________ Address: ______________________________ Dates Employed: From ____________ to: ___________ Position Title: __________________________ Position Description: _________________________________________________________________ Please list three references, including names, relationship to you and phone number: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Desired Job and Availability
[ ] Server [ ] Kitchen Staff [ ] Management	Day: Evening:	Mon	Tues	Wed	Thurs	Fri	Sat	Sun

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