Employment Application Midday Deli and Catering

Full Name *

Phone Number *

Street Address

City

State

Zip Code

Are you eligible to work in the United States?

Yes

No

If you are under age 18, do you have an employment/age certificates?

Yes

No

Do you have a VALID driver's license?

Yes

No

Any recent infractions?

Yes

No

If yes, please explain:

Have you ever been convicted of or pleaded no contest to a felony?

Yes

No

If yes, please explain:

Tell Us About Yourself

What are some your hobbies/interests?

What are you looking forward to in the future?

Where do you see yourself in 5 years?

Position / Availability

Are you available from 8am-3pm Monday through Friday?

Yes

No

Full or Part Time?

Full Time

Part Time

What date are you available to start work?

Will you require any pre-scheduled time off?

Yes

No

Education

Please list the name and address of school, degree / diploma, and graduation date.

High School

College

References

List 3 references below, not related to you, whom you have known for at least 3 years.

Reference 1 Name

Phone Number

Reference 2 Name

Phone Number

Reference 3 Name

Phone Number

Employment History

Employer 1 Name

Dates Employed (From / To)

Supervisor Name

Phone Number

Employer 2 Name

Dates Employed (From / To)

Supervisor Name

Phone Number

Employer 3 Name

Dates Employed (From / To)

Supervisor Name

Phone Number

* Equal Opportunity Employer *

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the company to thoroughly investigate all statements contained in my application or resume and references to disclose information regarding my former employment, character and general reputation. I understand that filling out this form does not indicate that there is a position open and does not obligate this company to hire. If hired, I agree to abide by this companies’ work rules, policies and procedures and they retain the right to revise policies or procedures, in whole or part at any time. I authorize the verification of any or all information listed above. *

I acknowledge the above text