Employment Application — Snappy Popcorn

NOTE: This application is valid for 30 days. If you wish to be considered for employment after this 30-day period, a new application must be completed.

It is the policy of Snappy Popcorn, CO. not to discriminate in hiring and employment on the basis of race, color, religion, national origin, sex, disability, age or other protected class as provided by all applicable state and federal laws. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Answer each question fully and accurately. If you provide false or misleading information during the application process or during your employment with Snappy Popcorn, CO. this may result in disciplinary action including up to termination of employment or a decision to not consider you further for employment. PLEASE PRINT, except for signature on back of application. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.

Personal Information

First Name

Last Name

Phone

Present Address

Street Address

City

State

Zip Code

Mailing Address (if different than present address)

Street Address

City

State

Zip Code

In case of an emergency please notify:

Emergency Contact Name

Relationship

Emergency Contact Phone

Are you legally eligible for employment in the U.S.?

(Proof of eligibility will be required)

Are you at least 18 years of age?

(Proof of eligibility will be required)

Can you read, write, and speak fluently in English?

Have you ever plead guilty to; or been convicted of a crime other than minor traffic violations such as parking tickets…etc.?

(A conviction will not automatically disqualify you for employment. Rather, such factors as conviction, seriousness and nature of the crime, and rehabilitation will be considered).

(If yes, please explain)

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Employment Desired

Position Desired

Full Time

Part Time

Salary Requirement

When are you available to start?

If needed, are you available to work overtime?

What hours do you prefer?

Are you employed now?

If unemployed, how long?

Have you ever applied to Snappy Popcorn?

If so, when?

How were you referred to Snappy Popcorn?

Education

- Education 1 -

Education Level

School Name

City, State

Course of Study

Years Completed

Degree/Diploma

Please include any other education, certification or skill which is relevant to the position for which you are applying: e.g., additional education or course work, seminars or workshops, honors or activities, certifications, licensing, professional organizations, publications, other experiences or accomplishments (excluding labor organizations and memberships which reveal race, color, religion, national origin, sex, age, disability or other protected status).

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Military

Did you serve in the US Armed Forces?

Are you presently a member of the National Guard or Reserves?

Please describe any training relevant to the position for which you are applying.

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References

(Give names of three persons not related to you, whom you have known at least one year)

Reference 1

Name

Relationship

Company

Phone

Reference 2

Name

Relationship

Company

Phone

Reference 3

Name

Relationship

Company

Phone

Former Employers

(List last four, starting with most recent)

- Former Employer 1 -

Company Name

Dates of Employment

From:

To:

Address

City

State

Supervisor Name

Supervisor Title

Supervisor Phone

Job Title

Starting Salary

Ending Salary

Major Responsibilities

Reason For Leaving