Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email Address
*
Which location?
*
Which location are you interested in working?
Area of Interest
List any days/or hours you're not available to work:
Are you available to work overtime if necessary?
*
Do you have reliable transportation?
*
Are you legally eligible for employment in the United States?
*
(Proof of eligibility and identity will be required)
Are you presently able to perform all of the essential functions of the job for which you are applying?
*
If no, please describe those essential functions and duties, which you are presently unable to perform:
If required, as a part of the duties of the job for which you have applied, are you able to stand, or sit for extended periods of time?
*
If no, please explain:
Have you used illegal drugs in the past six months?
*
If yes, please explain:
List any special skills in which you believe yourself to be trained and/or experienced:
Why do you want to work at Honeysuckle Biscuits & Bakery?
*
What do you enjoy doing in your spare time?
Have you ever been terminated or asked to resign from any previous job?
*
If yes, please explain
What languages are you able to read, speak and write fluently?
*
Highest level of education completed:
*
Name of High School
Address of High School
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Name of Technical School
Address of Technical School
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Course of Study
Name of College
Address of College
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Major
Name of Current or Last Employer
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Duties
Position Held
Reason for leaving
Current or Last Rate of Pay
May we contact?
Name of Supervisor
First Name
Last Name
Company Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Duties
Position Held
Reason for Leaving
Rate of Pay
May we Contact?
Name of Supervisor?
First Name
Last Name
Company Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Duties
Position Held
Reason for Leaving
Rate of Pay
May we Contact?
Name of Supervisor
First Name
Last Name
Name
*
First Name
Last Name
Contact Number
*
(###)
###
####
Relationship to you:
*
Years Known
*
Name
*
First Name
Last Name
Contact Number
*
(###)
###
####
Relationship to you:
*
Years Known
*
Name
*
First Name
Last Name
Contact Number
(###)
###
####
Relationship to you:
*
Years Known
*
Do you agree to the applicant statement?
*
In the event of my employment to a position in this Company, I will comply with all rules and regulations of this Company. I understand that the Company reserves the right to require me to submit to a test for the presence of drugs/alcohol after an offer of employment and at any time during my employment, to the extent permitted by law. Any offer of employment may be contingent upon the passing of a drug/alcohol screen. I also consent to complete a post hiring medical questionnaire after my employment begins.
I understand that the Company may investigate my driving record and my criminal record and that an investigative consumer report may be prepared regarding questions about my character. I understand that I have the right to make a written inquiry within a reasonable period of time to receive additional information about the nature and scope of the
inquiry. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and information or claims I have or may have against my former employers, their agents, employees and representatives, as well as other individuals who release information to the Company, and release them from any and all liability, claims or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me. I
authorize the persons name herein as personal references to provide the Company with any pertinent information they may have regarding myself.
I hereby state that all the information that I provided on this application or any other documents filled out in connection with my employment, and in any interview is true and correct. I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that if I am employed and any such information is later found to be false or
incomplete in any respect, I may be dismissed. I understand if selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 form in this regard.
If hired, I agree as follows: My employment and compensation is terminable at –will, is for no definite period, and my employment and compensation may be terminated by the Company (employer) at any time and for any reason whatsoever, with or without good cause at the option of either the Company or myself. No implied, verbal, or written agreements contrary to the express language of this agreement are valid unless they are in writing and signed by the President of the Company. No supervisor, manager or representative of the Company, has any authority to make any agreements contrary to the foregoing. This agreement is the entire agreement between the Company and the employee regarding the rights of the Company or employee to terminate employment with or without good cause, and this agreement takes the place of all prior and contemporaneous agreements, representations, and understandings of the
employee and the Company.
(If you have any questions regarding this statement, please ask a Company representative before agreeing.)
I hereby acknowledge that I have read the above Statements and understand the same.
Type your full name
*
Date
*
MM
DD
YYYY
