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Application Form

Birthday
Month
Day
Year
Are you a citizen of the United States?
Yes
No
Are you authorized to work in the U.S.?
Yes
No
Have you ever been convicted of a felony?
Yes
No

Previous Employment:

From:
Month
Day
Year
To:
Month
Day
Year
May we contact your current/past employers for reference?
Yes
No

Availability and Cultural Fit:

Desired Employment:
Date Available to Start:
Month
Day
Year

Skills & Experience:

Do you have a current Food Handler's Card?
Yes
No

References and Agreement:

References

Agreement

I certify that the facts and information provided in this application are true, accurate, and complete to the best of my knowledge and belief.

I understand that any false statements, misrepresentations, or material omissions, whenever discovered, may be cause for rejection of this application or immediate termination of employment, regardless of when the falsification or omission is discovered.

I authorize the employer to investigate all statements made in this application, including my prior employment history, education, and references. I release the employer and any individuals, companies, or educational institutions providing information from all liability for any damage that may result from furnishing this requested information.

I understand and agree that, if I am hired, my employment relationship with the company will be at-will. This means that either I or the employer can terminate the employment relationship at any time, for any reason or no reason, with or without notice. I also acknowledge that no employee manual, policy, or oral statement made during the hiring process constitutes a contract of employment, expressed or implied.

By signing below, I acknowledge that I have read, understood, and agree to the above terms.

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