Application for Employment
It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered.
Position applying for
Chef
Front End Associate
Your email address
example@example.com
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Personal Data
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date you can start working
-
Month
-
Day
Year
Date
Salary Desired
Do you have a High School Diploma or GED?
Yes
No
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Position Information
Check all that you are willing to work
Full-Time
Part Time
Temporary
Morning
Afternoon/Evenings
Night
Are you authorized to work in the U.S on an unrestricted basis?
Yes
No
Have you ever been convicted of a felony? Conviction will not necessarily disqualify for employment.)
Yes
No
If yes, explain:
Continue
Continue
Have you been told the essential functions of the job or have you viewed a copy of the job description listing the essential functions of the job?
Yes
No
Can you preform these essential function of the job with or without reasonable accommodation
Yes
No
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Qualifications
Please list any education or training you feel relates to the position applied for what would help you preform the work, such as school, colleges, degrees, vocational or technical programs, and military training
Special Skills: List any special skills or experience that you feel would help you in the position that you are applying for.
References. Please list three professional reference not related to you with full name, address, phone number, and relationship. If you don't have three professional references, then list personal, unrelated references.
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Work History
Start with your present or most recent employment and work back.
May we contact you present employers?
Yes
No
N/A
Current or Previous Employment #1
Job Title
Company Name
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Supervisor's Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving
Starting Salary
Ending Salary
Previous Employment #2
Job Title
Company Name
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Supervisor's Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving
Starting Salary
Ending Salary
Previous Employment #3
Job Title
Company Name
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Supervisor's Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving
Starting Salary
Ending Salary
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.
I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
Signature
Today's Date
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: