Employment application « Short Stop Deli

Employment application

		Close Shortstop Deli 200 W. Seneca St. Ithaca, NY 14850
Applicant Information
Last Name:
First Name:
Middle.Intl.:
Present Address:		Apartment/Unit #:

City:
State:
ZIP Code:
Telephone:
E-mail Address:

Date Available:
Social Security No.:
Desired Salary:
Position Applied for:

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

Type
of School

Name
& Location of School

High/Trade
School

Years
Attended

Graduated

Yes No

Name

Fields
of Study

Extra
Curricular Activities

Type
of School

Name
& Location of School

Bus./Tech.
School

Years
Attended

Graduated

Yes No

Name

Fields
of Study

Extra
Curricular Activities

Type
of School

Name
& Location of School

College/
University

Years
Attended

Graduated

Yes No

Name

Fields
of Study

Extra
Curricular Activities

OTHER TRAINING (Explain) :

Employment Information

EMPLOYMENT INFORMATION - (Give particulars of all previous employment, starting with most recent position).

1st Company Name	Employment Dates (mm/dd/yy)
	From: To:
Address	Wage History (Round to nearest whole dollar amount).
	Starting: Ending:
City, State, Zip	Supervisor's Name

Job title: Duties: (Please be brief). Reason for termination:

2nd Company Name (If applicable)	Employment Dates (mm/dd/yy)
	From: To:
Address	Wage History (Round to nearest whole dollar amount).
	Starting: Ending:
City, State, Zip	Supervisor's Name

Job title Duties: (Please be brief). Reason for termination:

3rd Company Name (If applicable)	Employment Dates (mm/dd/yy)
	From: To:
Address	Wage History (Round to nearest whole dollar amount).
	Starting: Ending:
City, State, Zip	Supervisor's Name

Job title : Duties: (Please be brief). Reason for termination:

OTHER EXPERIENCES Describe any other experience, skills, abilities or hobbies.

I UNDERSTAND THAT

The issuance of this application for employment does not indicate there are any positions open and does not in any way obligate the Shortstop Deli®.

I will not be paid for time spent while applying for a position or any other processing prior to the beginning of employment.

If required to sign a contract as part of my employment, I will do so and will sign any subsequent changes and renewals as necessary.

Any misrepresentation or omission of facts or any false or misleading information on my application, resume, or during the interview may result in the refusal of employment or, if employed, may result in immediate dismissal.

I understand and agree to maintain the confidentiality of confidential information, trade secrets and proprietary information of the Shortstop Deli® and its vendors.

In accepting employment with the Shortstop Deli®, I agree to abide by all company rules and regulations which are in effect or may be established in the future.

I DECLARE MY ANSWERS TO THE QUESTIONS ON THIS APPLICATION AND ATTACHMENTS TO BE TRUE, FURTHERMORE, I GIVE THE SHORTSTOP DELI THE RIGHT TO THOROUGHLY INVESTIGATE MY BACKGROUND, INCLUDING BUT NOT LIMITED TO: ACADEMICS, EMPLOYMENT RECORD, INCLUDING SALARY, AND OTHER MATTERS RELATED TO MY SUITABILITY FOR EMPLOYMENT.