YO G URTINI EMPLO YMENTA PPLIC A TIO N
Po sitio n Ap p lying Fo r: ___________________________________
Ho w w e re yo u re fe rre d to us: ____________________________
PERSO NA L INFO RMA TIO N
La st Na m eFirst Na m eMid d le Na m eEm a il
Pho ne Num b e r (___) ____-________
Ad d re ss
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Zip |
Da te a va ila b le to sta rt: ___________________ |
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So c ia l Se c urity # : _________________________ Sa la ry Re q uire m e nt: _________
If yo u a re und e r 18 a nd w e re q uire a w o rk p e rm it, c a n yo u furnish o ne ?
Ye s:_____ No :_____ If no , p le a se e xp la in:_________________________________
Ha ve yo u e ve r w o rke d fo r this c o m p a ny?
Ye s:_____ No :_____ If ye s, w he n? ________________________________________
C a n yo u, up o n e m p lo ym e nt, sub m it ve rific a tio n o f yo ur le g a l rig ht to w o rk in the U.S. a nd d o c um e nta tio n ve rifying yo ur id e ntity? Ye s:______ No :_____
Ha ve yo u e ve r b e e n c o nvic te d o f a c rim e (e xc e p t m ino r tra ffic vio la tio ns)? Ye s:___ No :__
(Yo u a re no t o b lig a te d to d isc lo se se a le d o r e xp ung e d c rim ina l re c o rd s)
If ye s, p le a se list c o nvic tio ns tha t a re a m a tte r o f p ub lic re c o rd : _________________________
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A VA ILABILITY
To ta l a va ila b le ho urs p e r w e e k: _________
We e kly a va ila b ility:
Fro m
To
EMPLO YMENTINFO RMA TIO N (Sta rt w ith yo ur m o st re c e nt jo b a nd list p re se nt a nd p a st e m p lo ym e nt)
C o m p a ny na m e , |
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End ing |
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a d d re ss, p ho ne |
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PRO FESSIO NA L REFERENC ES (Pro vid e thre e )
EDUC A TIO N INFO RMA TIO N
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Na m e o f Sc ho o l |
C ity a nd |
G ra d ua te d |
Yr |
De g re e / Ma jo r |
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It is the p o lic y o f Yo g urtini to p ro vid e e q ua l e m p lo ym e nt o p p o rtunitie s to a ll q ua lifie d p e rso ns w itho ut re g a rd to ra c e , c re e d , c o lo r, re lig io us b e lie f, se x, a g e , na tio na l o rig in, p hysic a l o r m e nta l ha nd ic a p o r ve te ra n sta tus.
A PPLIC ANTSTA TEMENT
I he re b y c e rtify tha t m y a nsw e rs a nd a sse rtio ns se t fo rth in this a p p lic a tio n a re trud e a nd c o m p le te to the b e st o f m y kno w le d g e . If I a m e m p lo ye d , I und e rsta nd tha t a ny fa lse sta te m e nts o n this a p p lic a tio n sha ll b e c o nsid e re d suffic ie nt c a use fo r m y d ism issa l. I he re b y a utho rize this c o m p a ny to inve stig a te a ny a sp e c t o f m y p rio r e d uc a tio na l a nd e m p lo ym e nt histo ry.
Furthe rm o re I und e rsta nd tha t if I a m hire d , e m p lo ym e nt w ith this c o m p a ny is “ a t w ill,”
w hic h m e a ns tha t e ithe r the c o m p a ny o r I c a n te rm ina te m y e m p lo ym e nt fo r a ny re a so n no t p ro hib ite d b y sta te o r fe d e ra l la w .
Sig na ture : _________________________________________________ Da te :_____________________