Employment Application

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Santo Dulce! is an equal opportunity employer. All qualified applicants are considered for employment without regard to race, religion, national origin, gender, age, disability, or any other factor that applicable law prohibits from consideration in making a decision regarding employment.

PERSONAL

Name *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Phone: *

Cell: *

E-mail *

Last 4 of SSN# *

Are You 18 Or Older? *YesNo

Are you Legally Authorized To Work In The US? *YesNo

Have you been convicted of a felony within the last 7 years? *YesNo

If yes, please Explain

EMPLOYMENT

Have you ever been an employee with us before? *YesNo

If yes, when and where?

Do you have any relatives currently working with us? *YesNo

If yes, when and where?

Name

Which Location? *

Full TimePart-TimeTemp Or Summer Employment

EDUCATION

Are you currently enrolled in school? *YesNo

High School *

Name *

City State *

Did You Graduate? *YesNo

Degree/Major *

College *

Name *

City State *

Did You Graduate? *YesNo

Degree/Major *

Other

Name

City State

Did You Graduate?YesNo

Degree/Major

Please list any educational, clubs, groups, professional, trade, business or civic activities or offices held (exclude memberships which would reveal sex, race, religion, national origin, age, disability or other protected status)

AVAILABILITY

From

Hours

Minutes

Hours

Minutes

From

Hours

Minutes

Hours

Minutes

From

Hours

Minutes

Hours

Minutes

From

Hours

Minutes

Hours

Minutes

From

Hours

Minutes

Hours

Minutes

From

Hours

Minutes

Hours

Minutes

From

Hours

Minutes

Hours

Minutes

WORK HISTORY – List Last Three employers

Employer *

Starting Salary/Pay *

Ending Pay *

Date *

to *

Supervisor Name *

Address *

Reason For Leaving *

Employer

Starting Salary/Pay

Ending Pay

Date

Supervisor Name

Address

Reason For Leaving

REFERENCES – Provide Names Of Three People Not Related To You

Name *

City & State *

Phone *

Business *

Years Known *

add another reference

Name *

City & State *

Phone *

Business *

Years Known *

add another reference

Name *

City & State *

Phone *

Business *

Years Known *

AUTHORIZATION AFFIDAVIT

Please read the following terms and conditions of your application for employment carefully and, when complete, affix your signature and date in the space provided below.

I understand that, if I am offered and accept employment with Santo Dulce!, my employment will be subject to all of the policies and procedures and terms and conditions of employment in effect at the time for the position in which I am hired and any subsequent position I may hold.

I understand that nothing in this Employment Application is intended to create or creates an express or implied contract of employment or a guarantee of employment for any specific duration of period of time. I understand that, if I am offered and accept employment with Santo Dulce!, such employment will be At-Will and will be voluntary on my part and the part of my employer, and that either party can terminate the employment relationship with or without notice or cause at any time.

I also understand that the Immigration Control and Reform Act requires me to prove my eligibility to work in the United States and that my failure to provide the required proof will result in the rejection of my application, withdrawal of any offer of employment that may be extended or immediate dismissal if I become employed.

DRUG TEST NOTICE – Santo Dulce! promotes a drug-free work environment. I understand that unless otherwise prohibited by applicable law, I may be required at any time to submit to a physical, urinalysis, or other examination as a condition of my employment with the Company, including a pre-employment drug test.By accepting employment, I agree to submit to such examinations or tests as required by the Company, all at Company expense. Additionally, a drug test may be required following a work-related injury and prior to finalizing a promotion, unless an exception applies in your state.

I certify that the facts contained in this Employment Application are true and complete to the best of my knowledge and understand that falsified statements on this application may result in rejection of my application, withdrawal of any offer of employment that may be extended, or if employed are grounds for immediate dismissal. I understand that if I become employed, this will become part of my permanent personnel record.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the Company from all liability for any damage that may result in utilization.

AUTHORIZATION AFFIDAVIT

WE ARE AN EQUAL OPPORTUNITY EMPLOYER COMMITTED TO HIRING A DIVERSE WORKFORCE