Dulce Delights Job Application

Personal Information

*First Name: *Last Name: *Phone Number:

Address:

City: State: Zip Code:

Email Address:

Are you at least 18 years of age? Yes  No 

Are you a citizen of the United States of America? Yes No
If No, are you authorized to work in the US? Yes No

Have you ever been convicted of a felony? Yes No
If Yes, provide details:

Job Information

Desired Position:           Job Type: Full Time Part Time

Desired Salary:  

# hours desired/week # days desired/week

What days and hours are you available to work? (eg. Sunday 11-3)

Monday: Tuesday:

Wednesday: Thursday:

Friday: Saturday:

Sunday: When is the earliest you can start?

Employment History (List most recent one first)

Company:           Phone:

Job Title:            Supervisor:

From: To:          Salary:  

May we contact this employer?

Company:           Phone:

Job Title:            Supervisor:

From: To:          Salary:  

May we contact this employer?

Education

High School:          Graduation Date:

Grade Level:

College:         Graduation Date:

Degree:

Personal References

Full Name:          Relationship:

Telephone:           

Full Name:          Relationship:

Telephone:           

Applicant’s Certification and Release

  1. I certify that I have read and fully completed all two (2) pages of this application and that the information contained in this application is correct to the best of my knowledge. I understand that any omission or erroneous information is grounds for dismissal in accordance with Dulce Delights' policy.
  2. I authorize the persons, employers, schools, and references listed in this application to provide any and all information concerning my previous employment as well as pertinent information they may have, personal or otherwise. I release all parties from all liabilities for any damages that may result from furnishing the aforementioned information.
  3. I understand that nothing contained in the application, or information conveyed during any interview which may be granted, or during my employment, if hired, is intended to create an employment contract between the Company and me. I understand that no supervisor, manager, or executive of the Company has any authority to alter the foregoing unless a specific term of employment is in writing and signed by the Company Chief Executive Officer or President.

 

Signature:                           Date: