Candidates & Applicants Job Application

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Candidate's

Full Name *

Email address *

Phone Number *

Home Address *

Date of Birth *

Position Applying for? *

Desired Salary Range? *

Availability? *

Preferred Shift? *

Current or most recent Employer? *

Position held? *

Start Date? *

End Date? *

Reason for leaving? *

Description of Responsibility? *

Previous Employer? *

Position held? *

Start Date? *

End Date? *

Reason for leaving? *

Description of Responsibility? *

Highest level of Education Completed? *

Institution Name? *

Degree or Certification or Diploma? *

Year of Graduation? *

Reference 1 (Name, Phone Number, Email, Relationship) *

Reference 2 (Name, Phone Number, Email, Relationship) *

Reference 3 (Name, Phone Number, Email, Relationship) *

Are you legally eligible to work in the United States? *

Yes
No

Do you have a valid food handler's Certification? *

Yes
No

if no, would you like to sign up for the State Food Safety Training Courses? *

Yes
No

Have you been convicted of a felony? *

Yes
No

If yes, would you like information on signing up for felon redemption program? *

Yes
No

Resume *

Check box (I agree to the terms stated below) Yes or No *

Yes
No

Submitting the Application (Yes or No) *

Yes
No

Agreement Declaration Consent *

Agree

Leave this field empty

****************** Declaration and Consent******************

Please read and agree to the following statement:

"I certify that all information provided in this application is true and complete. I authorize Rent-A-Chef Kitchen Staffing LLC to verify the information provided, including contacting references and conducting background checks if necessary."