Name (include middle name or initial)
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First Name
Last Name
Today's Date
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MM
DD
YYYY
Phone Number
*
(###)
###
####
Present Street Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Are you 18 years of age or older? (If you are hired, you may be required to submit proof of age.)
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What type of employment are you seeking:
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What date would you be looking to start work?
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If hired, can you furnish proof you are eligible to work in the U.S.?
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Which position are you looking to apply for?
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Have you ever applied with us before? If so when?
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Have you ever been convicted of any law violation? Include any plea of “guilty” or “nocontest.” Exclude minor traffic violations.)
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If yes, give details, (A conviction will not necessarily disqualify an applicant for employment.)
If employed, do you expect to be engaged in any additional business or employment outside of our job?
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If yes, give details:
Select any of the following educational experiences which apply to you
List the name of the institution, number of years attended and any degrees or certificates obtained pertaining to the above experience:
What skills or additional training do you have that relate to the job for which you are applying?
What machines or equipment can you operate that relate to the job for which you are applying?
Name of Employer:
Job Titles and Duties:
Dates of Employment (MO/YR):
Supervisor(s):
Telephone:
Pay (starting and ending):
Reason For Leaving:
Name of Employer:
Job Titles and Duties:
Dates of Employment (MO/YR):
Supervisor(s):
Telephone:
Pay (starting and ending):
Reason For Leaving:
Name of Employer:
Job Titles and Duties:
Dates of Employment (MO/YR):
Supervisor(s):
Telephone:
Pay (starting and ending):
Reason For Leaving:
Are you presently employed?
*
If yes, whom do you suggest we contact?
Have you ever been fired from a job or asked to resign?
If yes, please explain:
Give three references, not relatives or former employers.
*
Include name and phone number.
Signature Adoption
*
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required.
I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.
I have read, understand, and by my signature consent to these statements.
Thank you for your application!
Please send your resume to info@worthtakeaway.com
We are so happy that you are interested in being a part of our team. We are always accepting applications - if a position is open we will reach out and set up a time to interview you. If we are no longer hiring, we will keep your application on file until the next position becomes available.
