Employment Application

Employment Application

The Candy Emporium DBA All Rolled Up (Minot ND) Northwoods Candy Emporium (Bismarck ND)
Name*

First NameLast Name
Location and Position Applying for:*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Are you legally Eligible to work in the U.S.A.? Yes/ No. If No please explain.*
Have you ever applied or worked for The Candy Emporium LLC before? Yes / No If yes please state when. *
Do you know anyone who works or has worked for The Candy Emporium LLC? Yes / No. If Yes Whom*
Have you Ever been convicted of a felony? Yes/ No. If Yes explain.*
Are you 16? Or over the Age of 16? (Bismarck applicants must be at least 16)*
What Hours/Days are you available to work? Daytime or Evening? How many hours are you looking for? (Weekend availability is required for at least every other weekend) *
What Date are you available to start?*
References
Reference: (Non-relative) Name, Phone number, Title, Company*
Reference: (Non-relative) Name, Phone number, Title, Company
Work History
Employer: Company Name* Street Address* City* State* Zip* Phone Number* Job Duties* Dates Employed*
Employer: Company Name* Street Address* Address Line 2* City* State* Zip* Phone Number* Job Duties* Dates Employed*
Employer: Company Name Street Address Address Line 2 City State Zip Phone Number Job Duties Dates Employed
Signature/Certification

I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application can be grounds for rejection of my application or, if I am employed by this company, for my immediate termination from employment. I authorize The Candy Emporium to make any necessary inquiries and investigations into my education, military, or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to The Candy Emporium by any of the schools, services, or employers listed on this application.
Signature*

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Employment Application

References

Work History

Signature/Certification