KCFC Job Application

Job Application

An equal opportunity employer
Name*

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
What position are you applying for?
What position are you applying for?*
Are you currently employed?

YesNo
If yes, when can you start?

MonthDayYear
Are you 18+ years old?*

YesNo
Have you applied to this company before?

YesNo
If so, when?

MonthDayYear
Have you worked at this company before?

YesNo
If so, when?

MonthDayYear
How did you hear about the job opening?

OnlineFriendWalk-inWebsiteFacebookOther
Are you looking for seasonal or long-term work?

SeasonalLong-Term
Do you want to work full-time or part-time?*

Full-timePart-time
Education History

Education History

	Name/Location	Years Attended	Did you graduate (Y/N)	Subjects Studied
High School
College
Trade School
Other

Subjects of special study
Special Training
Special Skills
Employment History

Please list your three most recent employers starting with the most recent
Name of present or most recent employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Start Date

MonthDayYear
End Date

MonthDayYear
Average weekly hours
Title & name of supervisor
May we contact your previous supervisor?

YesNo
Supervisors phone number

Area CodePhone Number
Job responsibilities
Reason for leaving
Name of previous employer:
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Start Date

MonthDayYear
End Date

MonthDayYear
Average weekly hours:
Title & name of supervisor
May we contact your previous supervisor?

YesNo
Supervisors phone number

Area CodePhone Number
Job responsibilities
Reason for leaving
Name of previous employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Start Date

MonthDayYear
End Date

MonthDayYear
Average weekly hours
Title & name of supervisor
May we contact your previous supervisor?

YesNo
Supervisors phone number

Area CodePhone Number
Job responsibilities
Reason for leaving
Food Service Experience
What is your personal experience with foods service?*
What is your experience with providing customer service?
Why do you want to work at Kitsap Community Food Co-op?
Please characterize yourself. What sort of person do you see yourself as being? What strengths and weaknesses would you contribute to our business?
Authorization

Please sign below prior to submitting or turning in a hard copy:
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified information on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.”
Signature*

Clear
Should be Empty:

Job Application

Education History

Employment History

Food Service Experience

Authorization