Custom Food Solutions

* Required Fields

Position Applying For*

Referred By

Date Available*

Personal

Full Name*

Phone Number*

E-mail*

Address*

How long at this address?*

Previous Address*

Are you 18 years of age or older?*

Are you legally entitled to work in the USA?*

Have you ever been convicted of a felony?*

If yes, enter the state, date, and disposition

Education

High School (Name & Location)*

Did you graduate?*

If no, last grade completed

Grade Average*

College 1 (Name & Location)

College 2 (Name & Location)

Did you graduate?

If no, number of hours completed

Grade Average

Degree

Major

Minor

Date you expect to graduate

Military

List any services in the U.S. Military

From

Branch

Rank at discharge

Military Experience that might be applicable

General Employment Information

Type of Employment Sought*

Days and hours you are available to work*

Salary expected (per hour)*

Method of transportation you will use to get to work*

Have you previously been employed at Custom Food Solutions or Tumbleweed?*

If yes, when?

List any relatives working at Custom Food Solutions

Emergency Contact Name*

Phone

Relationship

Employment History

List below all present and past employment, beginning with your most recent:

1) Company Name*

Starting Salary*

Ending/Current Salary*

Address*

Type of Business*

Supervisor*

Job Title*

Reason for Leaving*

Dates Employed*

From

2) Company Name

Starting Salary

Ending/Current Salary

Address

Type of Business

Supervisor

Job Title

Reason for Leaving

Dates Employed

From

3) Company Name

Starting Salary

Ending/Current Salary

Address

Type of Business

Supervisor

Job Title

Reason for Leaving

Dates Employed

From

Please enter the letters from the image into the supplied text box:

Applicant should read the application carefully before filling out any of the questions on this form. The company does not discriminate in employment because of race, color, sex, religion or national origin; nor does the company discriminate in employment of persons because of their age if 40 or over, or against qualified, disabled persons or any other protected status under Federal or State law.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

THE FACTS SET FORTH IN MY APPLICATION ARE TRUE AND CORRECT, I UNDERSTAND THAT IF EMPLOYED, FALSE, MISLEADING, OR OMMITTED STATEMENTS ON THIS APPLICATION SHALL BE CONSIDERED SUFFICIENT GROUNDS FOR DISMISSAL OR NOT HIRING ME AT ALL. I HEREBY AUTHORIZE THE COMPANY TO DEVELOP SUCH BACKGROUND AND PERSONAL REPORTS AS ARE DEEMED NECESSARY AND AS PERMITTED BY LAW. A COPY OF THIS AUTHORIZATION SHALL BE AS VALID AS THE ORIGINAL. OVERTIME IS A CONDITION OF EMPLOYMENT.

I UNDERSTAND THAT EITHER THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE AT ANY TIME.

THIS APPLICATION REQUIRES YOU TO ARBITRATE ANY LEGAL DISPUTE RELATED TO YOUR APPLICATION FOR EMPLOYMENT OR EMPLOYMENT WITH THIS COMPANY UNDER ITS DISPUTE RESOLUTION PROGRAM.