stack 'em high pancakes and so forth Application Form

APPLICATION FOR EMPLOYMENT

Stack 'em High Pancakes & So Forth, Milepost 9, Kill Devil Hills, NC
Full Name*

First NameMiddle InitialLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Phone Number*
What's App
Available start date:*

MonthDayYear
Are you authorized to work and remain in the United States?*

YesNo
Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought.

YesNo
If Yes, Explain:
Position Applying For
Have You Ever Applied With Us Before?
EDUCATION, TRAINING & SKILLS:

EDUCATION

	Name of School	Years Attended	Year of Graduation, If Applicable	Subjects Studied
High School
High School Equivalent
College
Trade or Business School
Other Training School

Are you presently attending school?

YesNo

SERV SAFE CERTIFCATION

	Currently Taking Class	Passed Exam	Certificate Issue Date	Certificate Expiration Date
Serv Safe Manager
Serv Safe Food Handler
Serv Safe Alcohol
Serv Safe Academic
Serv Safe Allergens
Serv Safe Workplace

OTHER SERV SAFE RELATED INFORMATION, PLEASE DESCRIBE HERE
SPECIAL SKILL SETS, TRAINING, ETC. PLEASE DESCRIBE HERE
COMMUNITY INVOLVEMENT AND/OR VOLUNTEER ACTIVITY, PLEASE DESCRIBE HERE
EMPLOYMENT HISTORY:

Please begin with your current or most recent position.

EMPLOYMENT LISTING #1

	MOST RECENT/CURRENT EMPLOYER
EMPLOYER
JOB TITLE
SALARY

EMPLOYMENT LISTING #1 - ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
EMPLOYMENT LISTING #1 - PHONE NUMBER
EMPLOYMENT LISTING #1 - SUPERVISOR:

First NameLast Name
EMPLOYMENT LISTING #1 - DATE STARTED

MonthDayYear
EMPLOYMENT LISTING #1 - DATE ENDED

MonthDayYear
EMPLOYMENT LISTING #1 - DESCRIPTION OF DUTIES:
EMPLOYMENT LISTING #1 - REASON FOR LEAVING:
EMPLOYMENT LISTING #1 - ADDITIONAL COMMENTS:

EMPLOYMENT LISTING #2

	EMPLOYER #2 NAME
EMPLOYER
JOB TITLE
SALARY

EMPLOYMENT LISTING #2 - ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
EMPLOYMENT LISTING #2 - PHONE NUMBER
EMPLOYMENT LISTING #2 - SUPERVISOR:

First NameLast Name
EMPLOYMENT LISTING #2 - DATE STARTED

MonthDayYear
EMPLOYMENT LISTING #2 - DATE ENDED

MonthDayYear
EMPLOYMENT LISTING #2 - DESCRIPTION OF DUTIES:
EMPLOYMENT LISTING #2 - REASON FOR LEAVING:
EMPLOYMENT LISTING #2 - ADDITIONAL COMMENTS:

EMPLOYMENT LISTING #3

	EMPLOYER #3 NAME
EMPLOYER
JOB TITLE
SALARY

EMPLOYMENT LISTING #3 - ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
EMPLOYMENT LISTING #3 - PHONE NUMBER:
EMPLOYMENT LISTING #3 - SUPERVISOR:

First NameLast Name
EMPLOYMENT LISTING #3 - DATE STARTED

MonthDayYear
EMPLOYMENT LISTING #3 - DATE ENDED

MonthDayYear
EMPLOYMENT LISTING #3 - DESCRIPTION OF DUTIES:
EMPLOYMENT LISTING #3 - REASON FOR LEAVING:
EMPLOYMENT LISTING #3 - REASON FOR LEAVING:
INQUIRIES MAY BE MADE OF CURRENT AND PREVIOUS EMPLOYERS & SCHOOLS.
May we contact your present employer?*

YesNoOther
May we contact your former employers?*

YesNoOther
If Other, Please Explain Here
UPLOAD RESUME, OPTIONAL

Cancelof
UPLOAD SELF IMAGE, OPTIONAL
PERSONAL REFERENCES
REFERENCE #1 - FULL NAME

First NameLast Name
Business or Occupation
Phone Number
Relationship/How You Know Each Other
Approximately How Long Have You Known Each Other
REFERENCE #2 - FULL NAME

First NameLast Name
Business or Occupation
Phone Number
Relationship/How You Know Each Other
Approximately How Long Have You Known Each Other
IN YOUR OWN WORDS, WHY WOULD YOU LIKE TO BE A PART OF THIS TEAM?
By selecting the submit button you certify the facts in this application are true and complete to the best of your knowledge and understand that, if employed, falsified statements shall be grounds for dismissal. You also authorize investigation of all statements contained herein as well as references and employers listed above to give any and all lawful information concerning pertinent information and relase the company from all liability for any damage that may result from utilization of such information.
Should be Empty:

APPLICATION FOR EMPLOYMENT

EDUCATION, TRAINING & SKILLS:

EMPLOYMENT HISTORY:

PERSONAL REFERENCES