EMPLOYMENT APPLICATION
Please complete the entire application below and click submit.
Date:

First Name: Last Name: Middle Int.
Address: City: County:
State: Zip: Phone: Business Phone:
Availability
Do you work now?
Are you related by blood or marriage to any person now working for Food Pride? If yes, give name, relationship to you and where employed.


Military Service
Have you served honorably in the Armed Forces of the United States on active duty for reasons other than training?
Entered:
Seperated:
Branch:
Rank:
Are you a member of the Military Reserves? If yes, complete Brank and Rank.
Branch: Rank:


Are you willing to work:
Nights? Overtime?    
Weekends? Holidays?    
Do you have reliable transportation? If not, explain:
CHECK the types of work you will accept:
Permanent full-time Permanent part-time Temporary full-time
Temporary part-time Any of the preceding Shift or Split Shift Work
If you are not available for work now, enter the earliest date you could begin work (mo/day/yr)


Jobs Applied For:
Enter below the specific title(s) of the job(s) for which you are applying.
1. 2. 3.


Referral Source
Please indicate your referral source:


Education
Highest grade completed:
Under S/Q Hrs., list the hours of credit you received and if they were semester (S) or quarter (Q) hours.
   
Name & Location
Dates Attended (mo/yr)
From: To:
Graduated?
   
Name & Location
Dates Attended (mo/yr)
From: To:
Graduated?
S/Q Hrs. Major/Minor Degree Received
   
Name & Location
Dates Attended (mo/yr)
From: To:
Graduated?
S/Q Hrs. Major/Minor Degree Received


Skills
CHECK the following skills, experiences, etc., which you have:
Driver's License Car for use at work

Have you ever been convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be hired. The offense and how recently you were convicted will be evaluated in relation to the job for which you are applying.)
If yes, explain fully.


Work History  
Current or Last Employer: Address:
Job Title:
Supervisor's Name:
Phone #
No. Supervised by you:
Date Employed (mo/yr) Date Seperated (mo/yr)
Full Time
Years: Months:
Part Time
Years: Months:
If part time, number of hours worked per week:
Starting
Salary:
$ per
Ending/Current
Salary:
$ per
Reason for Leaving:
May we contact employer?
List major duties in order of thier importance in the job:


I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications. I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.)

Signature Of Applicant (Please enter your full name below, this will act as your signature).

Date:






We accept Visa, Master Card, Discovery, Debit Cards, EBT Cards, Food Stamps, and Personal Checks
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