APPLICATION FOR EMPLOYMENT
THE DONUT WHOLE



Today's Date (MM/DD/YY):
Your Name (first and last):
E-Mail Address:
Street Address:
Primary Phone:
Secondary Phone:
Referred by: Internet Site (Facebook, etc.)
Friend/Family
Classified Ad
Employment Agency
Are you eligible to work in the United States? Yes
No
If under 18, do you have proof of age? (You must be 16 or older.) Yes
No
N/A
Have you been convicted of, or pleaded no contest to, a felony charge in the past five years? Yes
No
If yes, please explain in short summary.
Position desired:
When can you start? (MM/DD/YY)
How many hours do you wish to work? Part-time
Full-time
What shift(s) would you prefer? Morning
Afternoon
Evening
Overnight
Which days of the week can you work? Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you employed now? Yes
No
If you are employed, may we contact your current supervisor? Yes
No
N/A
Most recent employer:
Dates of Employment (MM/YY-MM/YY):
Supervisor's name and contact number:
Duties performed:
Next most recent employer:
Dates of Employment (MM/YY-MM/YY):
Supervisor's name and contact number:
Duties performed:
Next most recent employer:
Dates of Employment (MM/YY-MM/YY):
Supervisor's name and contact number:
Duties performed:
Please list any special skills or training that may apply to this position.
Why should you be selected as a member of Team Donut Whole?

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