Please describe any automobile accidents or traffic violations within the past 5 years.
If you leave this space blank, you certify that you have no history of automobile accidents or traffic violations within the past 5 years.
If you have ever been convicted of a crime (Felony or Misdemeanor that is NOT a traffic violation) that has not been officially annulled by a court, you must complete the following section.
If you leave this space blank, you certify that you have no current record of conviction.
Please list all days & times that you are unavailable to work.
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Example: "Tuesdays 8am - 4pm"
Reason for Leaving
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Write "N/A" if still employed.
Reason for Leaving
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Write "N/A" if still employed.
Signature
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I hereby authorize and consent to the release of any information maintained about me by all previous employers, education institutions, law enforcement authorities, licensing boards or any other entity, agency, or individual which The Bread Shed may contact to secure references, with the specific exception of the following people: .
Except as specifically noted above, I release all individuals and entities from legal liability in providing relevant information and opinions that may be useful in making a hiring decision.
I hereby authorize The Bread Shed to release information concerning my employment to any prospective employer or others seeking to verify my employment with the company.
I hereby release The Bread Shed from all liability for any truthful statement made by any employee, agent, or official of the company, which is made to any perspective employer, and waive any claim that might arise from any such statement.
I understand that if I am hired, there may be a 90-day introductory period, but I understand and acknowledge that there is no specified length to my employment at The Bread Shed, and that my employment is at will. I understand and acknowledge that “at will” means I may terminate my employment at any time, with or without cause or advanced notice. I also understand and acknowledge that “at will” means that The Bread Shed may terminate my employment at any time, with or without cause or advanced notice, as long as they do not violate federal or state laws.
If my job results in my having proprietary information, I will be required to sign a non-compete and non-disclosure agreement as a condition of employment. I understand and give permission for the organization to conduct a pre-employment drug screening.
I also understand that there is a no-smoking policy and that I will not be allowed to smoke inside any company structure or vehicle. I certify that the statements I made are true and complete to the best of my knowledge. I further understand that any false statements or omissions made on this application or supplement may be grounds for immediate discharge or for removal from consideration of employment.
By typing your full, legal name below, you are certifying that you have read, and agree, to the above statement.
