Job Application Job Application "*" indicates required fields Step 1 of 6 - Personal Information 16% Date Submited Name* First Last Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone (primary)*Email* Position you are applying for:* I am interested in positions at: CRUST What is your minimum salary requirement?* Date Available To Start Work* MM slash DD slash YYYY I wish to work: Full-time? Part-time? Temporarily? How did you hear about this employment opportunity / our business?* Online Search Online Job Board Trade Publication Job Fair/Open House Newspaper Facebook Other Other, please detail: Were you reffered to this opportunity by a current employee? if so please enter their name here Current Employment Status:*Employed Full-TimeEmployed Part-TimeSelf-employedNot employedHomemakerRetiredStudentFull-Time CaregiverMay we contact your current employer for a reference?*YesNoAny special instructions for contacting current employer?Do you have any commitments to another employer that might affect your employment with us?* Yes No Please explain commitments*I'm looking for work that is:*(you can choose both) Permanent Temporary Days available to work:* Sunday Monday Tuesday Wednesday Thursday Friday Saturday Work schedule details: (optional)Skill Sets* Electric meat slicer Digital scales Cash register Delivery Multi-line phone Other Other, please detail* EDUCATIONAL HISTORYI have completed*(please choose all that apply) High School College Graduate School Trade School Other Schooling/Training HIGH SCHOOL INFORMATIONHigh School Name Years CompletedDegree, Major or Type Of CourseCOLLEGE INFORMATIONCollege Name Years CompletedDegree, Major or Type Of CourseGRADUATE SCHOOLGraduate School Name Years CompletedDegree, Major or Type Of CourseTRADE SCHOOLTrade School Name Years CompletedDegree, Major or Type Of CourseOTHER SCHOOLING/TRAININGOther School Name Years CompletedDegree, Major or Type Of Course EMPLOYMENT HISTORYPlease select all that apply* Most Recent Employer Second Most Recent Employer MOST RECENT EMPLOYEREmployer 1 Name* Employer 1 PhoneEmployer 1 Address Start Date(best estimate if not precisely known) MM slash DD slash YYYY End Date(choose today's date if still employed) MM slash DD slash YYYY Supervisor's Name Your Job Title Your Starting Salary Salary upon leaving DutiesReason for leavingSECOND MOST RECENT EMPLOYEREmployer 2 Name* Employer 2 PhoneEmployer 2 Address EMPLOYED FROM:Start Date(best estimate if not precisely known) MM slash DD slash YYYY End Date(choose today's date if still employed) MM slash DD slash YYYY Supervisor's Name Your Job Title Your Starting Salary Salary upon leaving DutiesReason for leaving BACKGROUNDHave you ever been convicted of a felony in the last 7 years?* Yes No An affirmative answer will not automatically disqualify you from being considered as a candidate for employmentDate of offense MM slash DD slash YYYY Place and Nature of Offense*REFERENCES(At least two references must be previous employers)REFERENCE 1 Name First Last Occupation PhoneAddress Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code REFERENCE 2 Name First Last Occupation PhoneAddress Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code REFERENCE 3 Name First Last Occupation PhoneAddress Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HiddenCERTIFICATION OF APPLICATIONUpload Resume Drop files here or Select files Accepted file types: doc, pdf, docx, Max. file size: 50 MB. Consent* I agree to the terms below.I hereby affirm that the information provided on this application is true to the best of my knowledge. I also agree that falsifying information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later time.Signed* Date Submitted MM slash DD slash YYYY Job Application ID Δ