Cold Cuts LLC

COLD CUTS LLC

Employment Application
APPLICANT INFORMATION
Last Name
First Name
Middle Initial
Street Address
Apartment or Unit Number
City
State
Zip
Phone
Email
Date Available

MonthDayYear
Date
Desired Salary
Position Applied for
Are you a citizen of the United States?

YESNO
If no, are you authorized to work in the United States?

YESNO
Have you ever worked for this company?

YESNO
If so, when?
Have you ever been convicted of a felony?

YESNO
If yes, explain:
EDUCATION
High School
Address
From
To
Did you graduate?

YESNO
Degree
College
Address
From
To
Did you graduate?

YESNO
Degree
Other
Address
From
To
Did you graduate?

YESNO
Other Information
REFERENCES
Please list three professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Dates Worked
Reason For Leaving
May we contact your previous supervisor for a reference?

YESNO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Dates Worked
Reason For Leaving
May we contact your previous supervisor for a reference?

YESNO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Dates Worked
Reason For Leaving
May we contact your previous supervisor for a reference?

YESNO
OPTIONAL INFORMATION

You do not need to provide this information, however you can if you wish to.
Union Affiliation
Dates
Any Other Information
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
Date

MonthDayYear
Date
Should be Empty:

APPLICANT INFORMATION

EDUCATION

REFERENCES

PREVIOUS EMPLOYMENT

OPTIONAL INFORMATION

DISCLAIMER AND SIGNATURE