Employment Form Personal InformationFirst Name *Last Name *Are you 18 years or older? *18 or olderYounger than 18Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeEmail Address *Phone *Job InformationPosition Applying For *Any position availableFudge MakerFudge ClerkDate You Can Start *Last Date You Can Work This Season *Wages Desired *Are You Employed Now? *YesNoCitizen of the United States? *YesNoAuthorized to work in the United States? *YesNoHave you applied here before? *YesNoIf Yes, When Did You Apply Here Before?Any particular dates you may need off this summers (for weddings, family reunions, school events, etc)?Need us to provide housing? *YesNoIf so, are you a smoker? *YesNoHave you ever been convicted of a felony? *YesNoIf yes, please explain.Have you ever spent a summer away from home? *YesNoEver worked with the public before? *YesNoExplain your work with the public.How did you find out about this position? *Current EmployeeCareer FairNewspaper AdRadio/TV AdSearch EngineOtherAdditional Information (Optional)Are you attending college this fall? *YesNoIf so, which college?If so, please explain where and when.What qualities or skills do you feel you have that qualify you for this position?Name of present employerPhone # of present employerEducationHigh School: Name and LocationNumber of years in high schoolGraduate from High School? *YesNoColleges Attended: Name and LocationNumber of years in collegeDid you graduate from college?YesNoWhat was your college major?EmploymentEmployer 1 (Most Recent)Supervisor at Employer 1Job Title at Employer 1Street AddressCityState/ProvinceZIP / Postal CodePhone at Employer 1Work Performed at Employer 1Starting Salary/Hourly Rate at Employer 1Ending Salary/Hourly Rate at Employer 1Reason for Leaving Employer 1Date Started at Employer 1Date Ended at Employer 1What did you like the most about this job?If you do NOT want us to contact this employer, please indicate the reason why not:Employer 2Supervisor at Employer 2Job Title at Employer 2Street AddressCityState/ProvinceZIP / Postal CodePhone at Employer 2Work Performed at Employer 2Starting Salary/Hourly Rate at Employer 2Ending Salary/Hourly Rate at Employer 2Reason for Leaving Employer 2Date Started at Employer 2Date Ended at Employer 2What did you like the most about this job?If you do NOT want us to contact this employer, please indicate the reason why not:ConsentSignatureStart signing your signature hereYour browser does not support e-Signature field.Employer 3Supervisor at Employer 3Job Title at Employer 3Street AddressCityState/ProvinceZIP / Postal CodePhone at Employer 3Work Performed at Employer 3Starting Salary/Hourly Rate at Employer 3Final Salary/Hourly Rate at Employer 3Reason for Leaving Employer 3Date Started at Employer 3Date Ended at Employer 3What did you like the most about this job?If you do NOT want us to contact this employer, please indicate the reason why not:I authorize investigation of all statements contained in this application. I release from all liability all persons, companies and corporations supplying such information and I indemnify this employer against any liablity that might result from making such investigation. I understand that misrepresentation or omission of facts called for is cause for dismissal. If employed by this employer, I agree to conform to all rules and regulations. I agree that my employment and compensation is for no definite period, and can be terminated with or without cause and with or without notice, at any time at the option of either this employer or myself. I also understand and agree that this employer may change the terms and conditions of my employment, with or without cause, and with or without notice, at any time. By submitting this form, you agree to the terms and conditions stated above.Do you consent to the above? *YesNoSubmit FormPlease do not fill in this field.