Please print off application

Complete and bring with you to interview

FreshADK Employment Application

Applicant Information

Full Name:                                                                         Date:

 Last                                                First                                       M.I.

Street Address                                                                   Apartment/Unit #

City                                              State                                   ZIP Code

Phone:                                                Email

Date Available:                 Social Security No                     Desired Salary:$

Position Applied for:

COOK        SERVER          DISH WASHER            MARKET           CAFE'

Are you a citizen of the United States? YES  NO

If no, are you authorized to work in the U.S.?  YES  NO

Have you ever worked for this company? YES  NO

If yes, when?

Have you ever been convicted of a felony? YES  NO

If yes, explain 

Education

High School:                                                   From:                    To:

 Did you graduate? YES   NO              Diploma::

College:                                                           From                     To:

 Did you graduate? YES    NO              Degree: 

References

Please list three professional references.

Full Name:                                                       Relationship:

 Company:

 Phone:

 Full Name:                                                      Relationship:

 Company:

 Phone:

 Full Name:                                                       Relationship:

Company:

Phone: 

Previous Employment

Company:                                                   Phone:

Supervisor:

Job Title:                                       Starting Salary  $                   Ending Salary $                      

Responsibilities:

From                     To:

 Reason for Leaving:

 May we contact your previous supervisor for a reference?   YES  NO

Company:                                                           Phone:

Supervisor:

Job Title:                                 Starting Salary $                       Ending Salary $                   

Responsibilities:

 From                   To:

 Reason for Leaving:

 May we contact your previous supervisor for a reference? YES   NO

Military Service

Branch:                                               From:                     To:

 Rank at Discharge:

 Type of Discharge:

If other than honorable, explain: 

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:                                                                                   Date: