EMPLOYMENT APPLICATION | FARMACY VEGAN KITCHEN & BAKERY
Please complete this application to be considered for any available positions at Farmacy Vegan Kitchen & Bakery, Tampa, FL.

After completing and submitting the application, please email your resume to tampa@farmacyvegankitchen.com.

Sincerely,

FARMACY VEGAN KITCHEN & BAKERY
Address: 803 North Tampa Street, Tampa, FL 33602
*We are located inside Duckweed Grocery Store
Phone: (813) 955-9530
Website: https://farmacyvegankitchen.com
Email address *
PERSONAL INFORMATION
Full Name: *
Cell/Phone Number: *
Please submit in the following format *(000) 000-0000
Current Street Address: *
City, State and Zip: *
Why do you want to work for Farmacy Vegan Kitchen & Bakery? *
Who referred you to the company/position?
EDUCATIONAL BACKGROUND
High School Name and Address: *
Did you graduate from High School or complete your G.E.D.? *
EMPLOYMENT BACKGROUND
We need to know about your last five years of employment. If you have an extensive work history, please fell free to drop it off your resume directly at Farmacy to Charles Rumph in a sealed envelope. If you have never been employed, please write the names of non-relatives who may be contacted as your references. You may include any verifiable volunteer work opportunities.
Are you currently employed? *
CURRENT/ LAST EMPLOYER
Company Name and Address:
Company Phone Number:
Please submit in the following format *(000) 000-0000
Dates worked (From/To):
Your Position/ Title:
Duties:
Supervisor/ Reference's Name and Title:
Reason for Leaving:
PREVIOUS EMPLOYER (1)
Company Name and Address:
Company Phone Number:
Please submit in the following format *(000) 000-0000
Dates worked (From/To):
Your Position/ Title:
Duties:
Supervisor/ Reference's Name and Title:
Reason for Leaving:
PREVIOUS EMPLOYER (2)
Company Name and Address:
Company Phone Number:
Please submit in the following format *(000) 000-0000
Dates worked (From/To):
Your Position/ Title:
Duties:
Supervisor/ Reference's Name and Title:
Reason for Leaving:
PREVIOUS EMPLOYER CONTACTS
* May we contact all the employers you listed?
If "NO", which ones should we NOT contact and WHY?
DISCIPLINED/ DISCHARGED INFORMATION
** Have you ever been disciplined or discharged for any reason?
If "YES", Please Explain:
EMPLOYMENT AUTHORIZATION
*Are you authorized to work in the United States? *
EMERGENCY CONTACT (1)
In case of emergency, please list the name, number, email, city/state of their current location and their relationship to you.
EMERGENCY CONTACT (2)
In case of emergency, please list the name, number, email, city/state of their current location and their relationship to you.
CRIMINAL BACKGROUND
* The following question asks about convictions for crimes or service of probation resulting from criminal charge. If you have ever been convicted (no matter the year) please list this information. Failure to indicate this information may cause future termination or not allow us to consider you for employment.
Have you ever been convicted of a crime (misdemeanors or felonies including any guilty, no contest, adjudication withheld, or similar pleas) or served probation (as result of deferred prosecution, pretrial intervention, or other similar agreement)? *
If “YES”, give all details (please note that a “YES” answer does not automatically disqualify you from employment; all circumstances will be considered):
ACKNOWLEDGEMENT
I certify that the statements made on this application are true and complete and I further agree that such statements may be investigated to verify accuracy. I further understand that any misleading or incorrect information, misrepresentation, or omission of facts may render this application void or may be cause for immediate dismissal whenever discovered. *
Required
APPLICANT E-SIGNATURE *
DATE APPLICATION COMPLETED: *
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