MAFB APPLICATION FOR EMPLOYMENT

MONTGOMERY AREA FOOD BANK

APPLICATION FOR EMPLOYMENT
Montgomery Area Food Bank is an equal opportunity employer. Montgomery Area Food Bank does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.

PERSONAL INFORMATION
Incomplete information could disqualify you from further consideration. Please complete all fields.
Name*

First Name Middle Name Last Name Suffix
Date*

MonthDay Year
Date
Email*
example@example.com
Home Phone Number*
Please enter a valid phone number.
Mobile Phone Number*
Please enter a valid phone number.
Are you eligible to work in the U.S?*

YesNo
Are you at least 18 years or older?*

YesNo
Have you ever been terminated from employment or asked to resign by an employer?*

YesNo
If yes, please provide company names and details
Can you work any shift?*

YesNo
If no, explain:

EMPLOYMENT DESIRED
Date you can start:*

MonthDay Year
Date
Position*
Are you currently employed?*

YesNo
If so, may we inquire of your present employer?

YesNo

REFERRAL SOURCE
How did you hear about us?*

Walk InAdvertisementReferralOther
Have you ever worked for this company before?*

YesNo
If yes, please explain
Do you know anyone who works for our company?*

YesNo
If yes, who?

EDUCATION
High School
Name of High School*
Address of High School*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
College or University
Name of College or University
Address of College or University

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Trade, Business or CorrespondenceSchool
Name of Trade, Business or CorrespondenceSchool
Address of Trade, Business or CorrespondenceSchool

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

EMPLOYMENT HISTORY
Include your last seven (7) years of employment history, including
periods of unemployment, starting with the most recent and working backwards in time.
Incomplete information could disqualify you from further consideration.
From*

MonthDay Year
Date
To*

MonthDay Year
Date
Employer Name*
Phone Number*
Please enter a valid phone number.
Job Title*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Name of Immediate Supervisor*

First Name Last Name
Title of Supervisor*
Reasons for leaving*
From

MonthDay Year
Date
To

MonthDay Year
Date
Employer Name
Phone Number
Please enter a valid phone number.
Job Title
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Name of Immediate Supervisor

First Name Last Name
Title of Supervisor
Reasons for leaving
From

MonthDay Year
Date
To

MonthDay Year
Date
Employer Name
Phone Number
Please enter a valid phone number.
Job Title
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Name of Immediate Supervisor

First Name Last Name
Title of Supervisor
Reasons for leaving
I understand that neither the completion of this application nor any other part of my
consideration for employment establishes any obligation for Montgomery Area Food Bank to hire me. If I am hired, I understand that either Montgomery Area Food Bank or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Montgomery Area Food Bank has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to Montgomery Area Food Bank true and complete information on this application. No requested information has been concealed. I authorize Montgomery Area Food Bank to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

MONTGOMERY AREA FOOD BANK

High School

College or University

Trade, Business or CorrespondenceSchool