Crunchies & Munchies Employment Application

Personal Information
Name*
First Last
Present Address*
Street Address Address Line 2 City State ZIP Code
Permanent Address
(If different from above)

Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Secondary Phone
Referred by
Employment Desired
Which location are you applying for?*
- 529 NE 36th Ave
- 8721 SE Baseline Rd (58th Ave)
What position are you applying for?*
Date you can start*
MM slash DD slash YYYY
Are you employed now?*
- Yes
- No
May we contact your present employer?*
- Yes
- No
Ever applied to this company before?*
- Yes
- No
Where*
When*
Educational History
High School
Name & Location of school*
Years Attended
Subjects Studied
College
Name & Location of school*
Years Attended
Did you graduate?*
Subjects Studied
Trade, Business, or Correspondence School
Name & Location of school*
Years Attended
Did you graduate?*
Subjects Studied
General Information
Subject of Special Study/Research Work
Special Training
Special Skills
U.S. Military or Naval Service
Rank
Former Employers
(List below the last four employers, starting with the most recent one first)
Employers
Start-End Dates Name & Address of Employer Position Reason for Leaving
References
(Please provide the names of three persons not related to you, with whom you have known at least one year)
References*
Name Address Business Years Known
Résumé
If attaching a résumé, please save as a PDF file before uploading.
Accepted file types: pdf, Max. file size: 50 MB.
Authorization*
I Agree to the following terms.
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the reference and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from any liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

By selecting "I Agree" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing.
Signature*
Type your name as your signature.

Start-End Dates	Name & Address of Employer	Position	Reason for Leaving

Name	Address	Business	Years Known

Employment Application

Personal Information

Employment Desired

Educational History

High School

College

Trade, Business, or Correspondence School

General Information

Former Employers

References