STORIA DELI & CAFE

STORIA DELI & CAFE

Application for Employment
All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, severe/morbid obesity, medical condition, military/veteran status, genetic information, marital status, ethnicity, alienage or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring accommodation to complete the application and/or interview process should contact a management representative.
Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Are you 18 or older?*

Yes, I'm 18 or olderNo, I'm 16 or older
Alabama State Law requires all team members at Storia to be 16 or older as we sell on-premise wine.
Have you ever been convicted of a crime?

NoYes
If yes, please explain. Conviction of a crime does not automatically disqualify you from employment.

Employment Experience
Please list the names of your present or previous employers in chronological order with present or most recent employer listed first. Be sure to account for all periods of time. If self-employed, give firm name and supply business references.
This is my first job

	Name of Employer	Address	Dates of Employment	Supervisor	Job Title & Duties	May we contact?	Reason for leaving
Current Employer
Previous Employer
Previous Employer

Have you ever been involuntarily terminated or asked to resign from any job?*

YesNo
If Yes, please explain
Please explain any gaps in your employment history:
Please list any other experience, job related skills, additional languages, or other qualifications that you believe should be considered in evaluating your qualifications for employment.

Applicant Statement and Agreement

Please read and acknowledge each paragraph below.
I hereby authorize Storia Deli & Cafe to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the prior employers and references I have listed to disclose to the Company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Storia Deli & Cafe, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I understand that any offer of employment will be dependent on a background check and I hereby authorize Storia Deli & Cafe to conduct a background check.
I have read and acknowledge the above statement*

Yes
If hired, I understand that I am required to comply with all rules and regulations of Storia Deli & Cafe.
I have read and acknowledge the above statement*

Yes
If hired, I understand and agree that my employment with Storia Deli & Cafe is at-will, and that neither I, nor Storia Deli & Cafe is required to continue the employment relationship for any specific term. I further understand that Storia Deli & Cafe or I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that the at-will status of my employment cannot be amended, modified, or altered in any way by any oral modifications.
I have read and acknowledge the above statement*

Yes
I understand that safety of employees is extremely important to Storia Deli & Cafe and that Storia Deli & Cafe is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my site supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health.
I have read and acknowledge the above statement*

Yes
I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I have read and acknowledge the above statement*

Yes
I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I have read and acknowledge the above statement*

Yes
I understand that if any term, provision, or portion of this Agreement is declared void or unenforceable, it shall be severed and the remainder of this Agreement shall be enforceable.
I have read and acknowledge the above statement*

Yes
MY SIGNATURE BELOW ATTESTS TO THE FACT THAT I HAVE READ, UNDERSTAND, AND AGREE TO ALL OF THE ABOVE TERMS.
Signature

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	School Name	Years Complete	Diploma/Degree (Yes/No)	Area of Study	Specialized Training, Skills
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College/University
Graduate/Professional School
Trade School
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	Name and Title	Relationship	Years known	Phone or email
Reference 1
Reference 2
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STORIA DELI & CAFE

Employment Experience

Education

Personal References

General Information

Applicant Statement and Agreement