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Employment
Employment Application
Full Name (Required)
Full Name (Required)
Date of Application (Required)
Date of Application (Required)
Address (City, State, Zip Code) (Required)
Address (City, State, Zip Code) (Required)
Telephone Number (Required)
Telephone Number (Required)
Email Address (Required)
Email Address (Required)
Applying For: (Required)
Cook
Food Prep
Cashier
Server
Hostess
Food Runner
Barista
Dishwasher
Bakery Assistant
How Did You Hear About This Position? (Required)
How Did You Hear About This Position? (Required)
What Days Are You Available For Work? (Required)
What Days Are You Available For Work? (Required)
What Hours or Shifts Are You Available to Work? (Required)
What Hours or Shifts Are You Available to Work? (Required)
On What Date Can You Start Working If You Are Hired? (Required)
On What Date Can You Start Working If You Are Hired? (Required)
Do You Have Reliable Transportation To And From Work? (Required)
Yes
No
Have You Ever Applied To Work For Itavie Before? (Required)
Yes
No
If You Have Applied, When?
If You Have Applied, When?
Do You Have Any Friends, Relatives, or Acquaintances Working For Itavie? (Required)
Yes
No
If Yes, State The Name and Relationship
If Yes, State The Name and Relationship
Are You 18 Years of Age or Older? (Required)
Yes
No
Are You A U.S. Citizen or Approved to Work in the United States? (Required)
Yes
No
What Document Can You Provide as a Proof of Citizenship or Legal Status?
What Document Can You Provide as a Proof of Citizenship or Legal Status?
Will You Consent To a Mandatory Controlled Substance Test? (Required)
Yes
No
Do You Have Any Conditions Which Would Require Job Accommodations? (Required)
Yes
No
If Yes, Please Describe Accommodations Required Below
If Yes, Please Describe Accommodations Required Below
Have You Ever Been Convicted of a Criminal Offense? (Felony or Misdemeanor) (Required)
Yes
No
If Yes, Please State the Nature of the Crime(s), When Convicted, and Disposition of the Case
If Yes, Please State the Nature of the Crime(s), When Convicted, and Disposition of the Case
Please List Below the Skills and Qualifications You Possess for the Position for Which You Are Applying For (Required)
Please List Below the Skills and Qualifications You Possess for the Position for Which You Are Applying For (Required)
High School (Name, Address, Year Graduated, Degree Earned) (Required)
High School (Name, Address, Year Graduated, Degree Earned) (Required)
College/University (Name, Address, Year Graduated, Degree Earned)
College/University (Name, Address, Year Graduated, Degree Earned)
Vocational School/Specialized Training
Vocational School/Specialized Training
Are You A Member of The Armed Forces? (Required)
Yes
No
What Branch of the Military Did You Enlist?
What Branch of the Military Did You Enlist?
What Was Your Military Rank When Discharged?
What Was Your Military Rank When Discharged?
How Many Years Did You Serve in the Military?
How Many Years Did You Serve in the Military?
What Military Skills Do You Possess That Would Be An Asset For This Position?
What Military Skills Do You Possess That Would Be An Asset For This Position?
Employer Name:
Employer Name:
Job Title:
Job Title:
Supervisor Name:
Supervisor Name:
Employer Address: (City, State, & Zip Code)
Employer Address: (City, State, & Zip Code)
Employer Telephone:
Employer Telephone:
Dates Employed:
Dates Employed:
Reason For Leaving:
Reason For Leaving:
Employer Name:
Employer Name:
Job Title:
Job Title:
Supervisor Name:
Supervisor Name:
Employer Address: (City, State, & Zip Code)
Employer Address: (City, State, & Zip Code)
Employer Telephone:
Employer Telephone:
Dates Employed:
Dates Employed:
Reason For Leaving:
Reason For Leaving:
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