Jake's Market & Deli Employment Application
Applicant Full Name: *
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Date of Application: *
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Home Street Address: *
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City/State/ZIP: *
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Phone Number: *
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E-Mail: *
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Social Security Number: *
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What position are you applying for? *
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Please specify location of position
Full or Part Time? *
Who referred you to our company?
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Do you have any friends or relatives who work here? If yes, please list below:
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Have you worked at Jake's previously? If yes, when and where? *
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Are you at least 18 years old? *
Are you willing to work any shift, including nights and weekends? If no, please list any limitations. *
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If you are offered employment, when would you be available to begin work? *
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If hired, are you able to submit proof that you are legally eligible for employment in the United States? *
Are you able to perform the essential function of the job position you seek with or without reasonable accommodation? *
What reasonable accommodation, if any, would you require?
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Have you ever been convicted of a felony? *
If yes, please list your conviction, the date you were convicted, and in what city/state you were convicted.
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List any skills that may be useful for the job you are seeking along with the number of years of experience, and rate your ability for each skill 1-5 with 1 being poor ability and 5 being exceptional ability. *
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Please list your employment history with the NAME OF YOUR EMPLOYER, SUPERVISOR'S NAME, CITY/STATE, POSITION, REASON FOR LEAVING, DATES OF EMPLOYMENT (month/years) beginning with most recent employment: *
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Did you graduate from High School or receive your GED? *
Did you graduate from College/University? If yes, what degree did you receive?
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Do you have other training (graduate, technical, vocational)? *
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Please list 3 NON-RELATIVES who would be willing to provide a reference for you. Include their NAME, PHONE NUMBER, and YEARS KNOWN: *
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I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize Sugar Face & Company, LLC & KB Ventures, Inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If any employment is offered I understand the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause, except as may be required by law.With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the same right. This application does not constitute an agreement or contract for employment. I understand if I'm hired I will be required to provide proof of identity and legal work authorization. I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS. Please digitally sign and date below: *
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