Employment Application Form

Chocolaterie Stam Employment Application
Name*

First NameLast Name
Phone Number*
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you legally eligible to work in the United States?*

YesNo
Have you previously applied for a position with Chocolaterie Stam?*

YesNo
If yes, when?
JOB INTERESTS/SKILLS
What position(s) are you applying for?*

Sales AssociateProductionWarehouseSpecial Events
Type of employment requested:*

Full TimePart TimeTemporary/SeasonalSummer
What special skills/qualifications do you have that would be a good fit with Chocolaterie Stam?
EDUCATION
High School
College/University
Other Education
Most Recent Employment
Previous Employment
LIST ANY OTHER APPLICABLE PREVIOUS EMPLOYMENT:
References

Please list two (2) references that are familiar with your work life.
REFERENCE ONE
REFERENCE TWO
(Optional) Upload your resume:

Cancelof
Availability
At which Stam location(s) are you available to work?

2814 Ingersoll, Des MoinesValley West Mall, West Des MoinesOutlets of Des Moines, AltoonaJordan Creek Mall, West Des Moines
What date would you be available to start working at Stam?*
Please select ALL HOURS you are typically available to work:*

Sunday AMSunday PMMonday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PMSaturday AMSaturday PM
Comments regarding work availability:
I certify that the answers given by me in this application are correct to the best of my knowledge. I understand that any falsification of information on this application, whether willingly or accidentally, is grounds for disqualification of consideration or dismissal from employment if I am hired. I authorize Chocolaterie Stam to contact any and all of the parties listed in this document in order to obtain previous employment information and any other pertinent information. Furthermore, I release Chocolaterie Stam from any and all liability for any damages that may result from the collection of this information. Verification of eligibility to work in the United States must be satisfied for an offer to be made.*

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Chocolaterie Stam Employment Application