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Personal Information
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| Full Name: |
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| Social Security #: |
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| Present Address: |
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| City, State, Zip: |
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| Permanent Address: |
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| City, State, Zip: |
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| Phone Number: |
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| Cell or Alternate Phone Number: |
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| Email: |
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Have you ever worked
under another name ? |
Yes
No |
| If yes, list: |
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| Position Desired: |
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| Salary Expected: |
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| I can work: |
Full Time
Part Time
Temporary
Permanent
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| Days Available: |
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday |
| Times Available:
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Days
Evenings
Nights
Overtime
Split Shifts
Any Time |
| Employment Record |
| Record your most recent position first. Failure
to accurately account for all periods during the last seven
years may lead to your application not being considered.
If omissions or falsifications are discovered subsequent
to your employment, such omissions or falsification will
be sufficient cause for discharge (List periods of school
as follows: School name under company name & dates attended.)
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| Have you ever worked for Fireside
Catering before? |
Yes
No |
| If yes, when? |
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| Have you ever applied to Fireside
Catering before? |
Yes
No |
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Employer #1 (most recent)
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| Company Name: |
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| Company Address: |
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| Company City, State, ZIP: |
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| Supervisor Name: |
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| Phone Number: |
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| Job Titles & Duties: |
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| Reason for Leaving: |
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| Starting Date: |
Ending:
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| Starting Wage: |
Ending:
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| Were you unemployed between
positions? |
Yes
No |
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Employer #2
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| Company Name: |
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| Company Address: |
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| Company City, State, ZIP: |
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| Supervisor Name: |
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| Phone Number: |
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| Job Titles & Duties: |
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| Reason for Leaving: |
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| Starting Date: |
Ending:
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| Starting Wage: |
Ending:
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| Were you unemployed between
positions? |
Yes
No |
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Employer #3
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| Company Name: |
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| Company Address: |
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| Company City, State, ZIP: |
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| Supervisor Name: |
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| Phone Number: |
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| Job Titles & Duties: |
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| Reason for Leaving: |
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| Starting Date: |
Ending:
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| Starting Wage: |
Ending:
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| Were you unemployed between
positions? |
Yes
No |
| --- |
| May we contact your previous
employers? |
Yes
No |
| Please list any previous employers
you wish us not to contact: |
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| Educational Record |
| Years Completed: Select |
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| 1. High School Name: |
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| Degree Received: |
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| Course Work: |
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| 2. Trade School Name: |
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| Degree Received: |
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| Course Work: |
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| 3. College Name: |
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| Degree Received: |
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| Course Work: |
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| Other Information |
| Outside Activities or Hobbies: |
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| If you have any friends or
relatives currently working at Fireside Catering, please
list their names and their relationship to you: |
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| Are you older than 18? |
Yes
No |
| Do you have reliable transportation
to get to and from work? |
Yes
No |
| Have you ever been convicted
of a felony or misdemeanor other than a traffic violation?
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Yes
No |
| If yes, please explain: (Such
conviction may be relevant if job related, but does not
bar you from employment.) |
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| Military
Service |
| Are you now, or have you ever
been in the military? |
Yes
No |
| If yes, list branch of service
and highest rank attained: |
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| If in reserves, are you currently
active? |
Yes
No |
| Immigration
Status |
| If an alien, do you have a
legal right to accept employment in the U.S.? (Upon employment,
verification of legal employment status will be required.) |
Yes
No |
| References |
| Name 1: |
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| Title: |
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| Phone: |
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| Years Known: |
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| Name 2: |
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| Title: |
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| Phone: |
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| Years Known: |
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| Name 3: |
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| Title: |
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| Phone: |
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| Years Known: |
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| Important! Please Read
Carefully |
| I hereby authorize investigation of all statements
contained in this application, including inquiry of any
and all of my former employers or references as indicated
elsewhere on this application, and hold said former employers
and/or references harmless from liability arising therefrom.
I affirm that all the information contained in this application
is true and correct, and that any misrepresentation, falsification
or omission herein shall be sufficient reason for dismissal
from, or refusal for employment. If employed, I understand
that the company reserves the right to modify or terminate
my employment at any time, with or without cause, and without
prior notice. I further understand that the duration, hours,
nature, compensation and benefits of my employment may be
changed or modified from time to time without limitation
or condition. I understand that no representative of the
company has any authority to make any assertions to the
contrary. I hereby agree to abide by all policies and rules
of this company which govern dress, hair, grooming and attitude. |
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By clicking the Send Button, below, I acknowledge that
I have read, understood, and voluntarily agree to the
above.
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Name
(used as electronic signature): |
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| Today's Date: |
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Please type the word you see:
What is this? |
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