Parlor Doughnuts - Port St Lucie - Application for employment

Application for employment
Thank you for your interest in employment with Parlor Doughnuts.
Desired Location
1707 NW St Lucie West Blvd, Port St Lucie, FL. 34986

https://www.parlordoughnuts.com/shops/port-st-lucie-fl

Please complete all sections of the application form so that your qualifications may be fully considered. It is the policy of Parlor Doughnuts to be in full compliance with all applicable federal and state non- discrimination and equal opportunity laws and regulations relating to race, color, sex, religion, disability, age, national origin, veteran status, or any other category protected under federal, state or local law.
Postion(s) Desired
Salary/Hourly Rate Desired
Date Available

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name

First NameMiddle InitialLast Name
Street
City
State
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Are you 18 years of age or older? Individuals who are 14 – 17 years of age may be required to provide a work permit.
Are you legally eligible to be employed in the United States?
If no, please explain - Proof of identity and eligibility will be required upon employment.
How did you learn about this positon?
I am seeking (check all that are applicable):
I am willing to work (check all that are applicable):
If you need to work around another schedule (e.g. school), please provide any details that need to be coordinated or considered:

Education

Rows	Name,City,State	Number of Years Completed	Graduated (yes or No)	Course of Study
High School
College - Undergraduate
Business/Vocational School
Other
Internships

Licensure, Certification(s), and/or Registration(s)

Rows	Type	Lic/Cert/Reg Number	State	Exp. Date
License/Cert/Reg
License/Cert/Reg
License/Cert/Reg

On a scale of 0 - 5, with 0 indicating no experience and 5 indicating highly proficient, rate your expertise with the following:

Rows	0	1	2	3	4	5
Word
Excel
PowerPoint
Gmail
Google
X (Twitter)
Instagram
TikTok
Facebook

List any other technology skills that you possess that would be applicable, including Point of Sale systems:
Summarize special skills, qualifications, or other experiences that may qualify you to work at Parlor Doughnuts (exclude those which include race, color, sex, religion, disability, age, national origin, or any other protected category).
Do you speak multiple languages?
If Yes, please list:
EMPLOYMENT HISTORY

Beginning with your current / most recent employment, please complete the section below in full. Incomplete information could disqualify you from further consideration.
Company #1
Job Title
Duties
From (mo/yr) - To (mo/yr)
Address

Address

Street Address Line 2

City/State/ZipState / Province

Postal / Zip Code
Final Salary/Hourly Rate
Supervisor
Phone Number
Format: (000) 000-0000.
Email
Reason For Leaving
Amount of Notice Given
Company #2
Job Title
Duties
From (mo/yr) - To (mo/yr)
Address

Address

Street Address Line 2

City/State/ZipState / Province

Postal / Zip Code
Final Salary/Hourly Rate
Supervisor
Phone Number
Format: (000) 000-0000.
Email
Reason For Leaving
Amount of Notice Given
Company #3
Job Title
Duties
From (mo/yr) - To (mo/yr)
Address

Address

Street Address Line 2

City/State/ZipState / Province

Postal / Zip Code
Final Salary/Hourly Rate
Supervisor
Phone Number
Format: (000) 000-0000.
Email
Reason For Leaving
Amount of Notice Given
Have you ever been discharged from a position or asked to resign from a position in lieu of being discharged?
If Yes, please explain:
PROFESSIONAL REFERENCES

List individuals who can provide information about your employment, volunteer activities, or professional experiences (do not list relatives). Please do not list supervisors who have already been identified on the previous page.
Reference #1: Full Name
Company/Occupation
Relationship
Number of Years Known
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Reference #2: Full Name
Company/Occupation
Relationship
Number of Years Known
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Reference #3: Full Name
Company/Occupation
Relationship
Number of Years Known
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Applicant Certification and Agreement
In exchange for consideration of my job application with the Company, I agree to the following:

(Check) I have read and reviewed the information provided in this application and the above statements. I certify that the facts and information set forth in this application, are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts on the application, resume and any attachments (or on any required document) will be cause for denial of employment or termination of employment, regardless of when or how it was discovered.
Signature
Printed Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Application for employment

EMPLOYMENT HISTORY

PROFESSIONAL REFERENCES

Applicant Certification and Agreement