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Application For Employment

SURE WINNER FOODS

Distributor of Quality Ice Cream

Phone (207) 282-1258 ~ P.O. Box 430 Saco, ME. 04072

 

Unless otherwise noted, all fields are required.

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or

veteran status, or any other legally protected status.

Position(s) Applied For

 

Date of Application

 

How Did You Learn About Us?

 

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Employment Agency

Relative

Friend

Inquiry

Other

 

Last Name

 

First Name

 

Middle Name

 

Address

 

City

 

Zip Code
State

 

Contact Information

 

 

Can you provide required proof of your eligibility to work?
Yes
No
Hvae you ever filed an application with us before? If Yes, give date:

 

Yes
No
Have you ever been employed with us before? If Yes, give date:
 
Yes
 
No
Do any of your friends or relatives, other than spouse, work here?
Yes
No
Are you currently employed?
 
Yes
 
 
No
 
May we contact your present employer?
 
Yes
 
 
No
 
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
 
Yes
 
 
No
 
Are you currently on "lay-off" status and subject to recall?
 
Yes
 
 
No
 
Can you travel if a job requires it?
 
Yes
 
 
No
 

Proof of citizenship or immigration status will be required upon employment.

 

Date available to work
What is your desired salary range?

 

Are you available to work:
Full-Time (please indicate 1 2 3 shift)
Part-Time Mornings
Part-Time Afternoons
Part-Time Evenings
Temporary (please indicate dates available)
 
If daily overtime is required that goes beyond assigned shift, is it possible for you to work?
Yes
No
If weekend or additional days are required, can you work the additional hours?
Yes
No

 

Have you ever been convicted of a crime in the last 5 years? (Do not include misdemeanors or traffic violations)
If yes, please explain:

 

Yes
No
 
Have you ever been disciplined, discharged or asked to resign from a job in connection with loss of money, merchandise or equipment?
If yes, please explain:

 

Yes
No
 
Have you ever been disciplined or discharged for absenteeism or tardiness?
If yes, please explain:

 

Yes
No
 
Have you ever been disciplined or discharged for any other reason?
If yes, please explain:

 

Yes
No
 

 

Please submit a resume or curriculum vitae.

If you do not have a resume, simply include your employment history in this box:

 

 

TO BE COMPLETED BY INDIVIDUALS APPLYING FOR DRIVER POSITIONS ONLY
Driver's License Number:
State Where Issued:
(Please provide copy)
Valid C. D. L. Class
A
B
C
List Endorsements:

 

Certification of Power Equipment:
Yes
No
Do you hold a valid D.O.T. Physical Card:
(Please provide copy)
Yes
No

 

Applicant's Statement

I certify that answers herein are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment should be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applicants are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such a change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

 

Signature of Applicant

Date