Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Are you a U.S. citizen? (Yes/No)
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Do you have a valid driver's license? (Yes/No)
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Have you ever been convicted of a felony other than minor traffic violations during the past 7 years? (Yes/No)
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If yes, explain:
Are you able to perform the essential job functions of the position for which you are applying for with or without reasonable accommodation? (Yes/No)
Position you are applying for:
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Available start date:
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Desired pay:
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Do you have bakery, food prep, or food service experience? If so, explain below:
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What would you contribute to the team?
*
Shift availability (days/hours):
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Education history (high school and above):
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List school name, location, years attended, degree received, and major for each school.
Employment history (list 3 most recent):
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List name, job title, dates employed, address and phone number, starting/ending pay rate for each employer.
Work references (list at least 3 contacts):
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List PROFESSIONAL references only with name, phone number, and relationship to the person.
Anything else you'd like to add for consideration?
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
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