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Employment Form
Please complete this form to the best of your ability
Full Name*
Social Security Number*
Address*
City*
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZipCode*
Email Address*
Phone*
Are you 18 years old or older?
Yes
No
Are you a US citizen?
Yes
No
Position Desired*
Warehouse
Truck Driver
Accounting
Sales
Date you can start*
Are you employed now?
Yes
No
If so, may we contact your current employer?
Yes
No
Ever applied to this company before?
Yes
No
Salary desired*
Highest Education Level Completed
Grammar School
High School
College (2 yr)
College (4 yr)
Trade, Business or Other Schools
General Information - Special Skills
General Information
Activities (Civic, Athletic, etc.) Please exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nationality of origin of its members.
US Military Service Branch
Discharge Type
No Service
Honorable
Dishonorable
Present membership in National Guard or Reserves
Yes
No
References*
List the Names, Addresses, Businesses, and Years Acquainted of three people, not related to you, who you have known for at least one year.
Emergency Contact*
Please list the Name, Address, and Phone Number of a Emergency Contact.
"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has the authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing." By submitting this application for employment, you agree to the above. Clicking "I agree" serves as your signature.*
I agree
Submit
* Required
Copyright 2011 by Scarmardo Foodservice Inc.
- 1289 N. Harvey Mitchell Pkwy - Bryan, Tx 77803 - 1.800.927.7702
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