EMPLOYMENT APPLICATION | FARMACY VEGAN KITCHEN & BAKERY
Please complete this application to be considered for any available positions at Farmacy Vegan Kitchen & Bakery, Tampa, FL.
Farmacy Vegan Kitchen & Bakery Website: https://farmacyvegankitchen.com
Email address *
PERSONAL INFORMATION
Full Name: *
Your answer
Cell/Phone Number: *
Please submit in the following format *(000) 000-0000
Your answer
Current Street Address: *
Your answer
City, State and Zip: *
Your answer
Why do you want to work for Farmacy Vegan Kitchen & Bakery? *
Your answer
Who referred you to the company/position? *
Your answer
EDUCATIONAL BACKGROUND
High School Name and Address: *
Your answer
Did you graduate from High School or complete your G.E.D.? *
College/Technical School Name and Address: *
Your answer
College/Technical School Course(s)/ Major/ Certification(s): *
Your answer
Did you graduate from College/Technical School? *
Other Institution/ School Course(s)/ Major/ Certification(s): *
Your answer
Did you graduate from the other Institutions/ Schools? *
Your answer
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: *
Your answer
Company Phone Number: *
Please submit in the following format *(000) 000-0000
Your answer
Dates worked (From/To): *
Your answer
Your Position/ Title: *
Your answer
Duties: *
Your answer
Supervisor/ Reference's Name and Title: *
Your answer
Reason for Leaving: *
Your answer
PREVIOUS EMPLOYER (1)
Company Name and Address: *
Your answer
Company Phone Number: *
Please submit in the following format *(000) 000-0000
Your answer
Dates worked (From/To): *
Your answer
Your Position/ Title: *
Your answer
Duties: *
Your answer
Supervisor/ Reference's Name and Title: *
Your answer
Reason for Leaving: *
Your answer
PREVIOUS EMPLOYER (2)
Company Name and Address: *
Your answer
Company Phone Number: *
Please submit in the following format *(000) 000-0000
Your answer
Dates worked (From/To): *
Your answer
Your Position/ Title: *
Your answer
Duties: *
Your answer
Supervisor/ Reference's Name and Title: *
Your answer
Reason for Leaving: *
Your answer
PREVIOUS EMPLOYER CONTACTS
* May we contact all the employers you listed? *
If "NO", which ones should we NOT contact and WHY? *
Your answer
DISCIPLINED/ DISCHARGED INFORMATION
** Have you ever been disciplined or discharged for any reason? *
If "YES", Please Explain: *
Your answer
EMPLOYMENT AUTHORIZATION
*Are you authorized to work in the United States? *
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): *
Your answer
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 *
Your answer
DATE APPLICATION COMPLETED: *
MM
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DD
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YYYY
AVAILABILITY
Are you seeking: *
If hired, on what date are you available to begin work at Farmacy? *
MM
/
DD
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YYYY
PLEASE LIST YOUR AVAILABILITY:
(ONLY LIST AVAILABLE HOURS YOU COULD WORK.)
SUNDAY: *
Your answer
MONDAY: *
Your answer
TUESDAY: *
Your answer
WEDNESDAY: *
Your answer
THURSDAY: *
Your answer
FRIDAY: *
Your answer
SATURDAY: *
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