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Wiseway Foods, Inc Employment Application
An Equal Opportunity Employer
Date 7/6/2008
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First Name*
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Last Name*
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Phone*
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Email*
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Street Address*
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Apartment
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City*
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State, Zip*
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Question 1*
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Yes
No
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Are you 18 years of age or older?
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Question 2*
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Yes
No
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Have you ever been employed by us before?
If yes, please provide the store location, date range and position you held:
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Question 3*
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Yes
No
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Do you currently have any relatives working for us?
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Question 4
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Yes
No
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Were you referred to us by someone?
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Question 5*
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Yes
No
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Have you ever been convicted of or charged with a felony or misdemeanor?
Please explain in details in full, including dates, details of offense(s) charged, jurisdiction and disposition of case.
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Question 6*
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Yes
No
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Have you ever ben convicted of a beverage violation?
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Question 7*
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Yes
No
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Have you ever been terminated or asked to resign from any job?
If yes, please explain circumstances
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Question 8*
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Yes
No
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Do you have any gaps in your employment history?
If yes, please explain:
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Question 9*
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Yes
No
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May we contact your current employer?
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Full Time
Part Time
Temporary / Seasonal
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High School
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Name
Years Complete
Graduated/Completed Yes
No
Attending
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College
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Name
Years Complete
Graduated/Completed Yes
No
Attending
Type of course degree
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Other 1
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Name
Years Complete
Graduated/Completed Yes
No
Attending
Type of course degree
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Other 2
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Name
Years Complete
Graduated/Completed Yes
No
Attending
Type of course degree
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Employer 1
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Employer
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Last Position
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Supervisor
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Street Address
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City
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State
Zip
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Phone
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Ending Pay
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Employed From
To
Reason For Leaving
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Duties & Responsibilities
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Employer 2
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Employer
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Last Position
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Supervisor
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Street Address
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City
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State
Zip
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Phone
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Ending Pay
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Employed From
To
Reason For Leaving
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Duties & Responsibilities
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Employer 3
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Employer
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Last Position
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Supervisor
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Street Address
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City
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State
Zip
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Phone
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Ending Pay
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Employed From
To
Reason For Leaving
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Duties & Responsibilities
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Reference 1
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Name
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Company
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Position
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Street Address
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City
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State
Zip
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Phone
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I know this person as a
Supervisor
Co-Worker
Friend
Other
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Reference 2
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Name
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Company
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Position
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Street Address
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City
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State
Zip
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Phone
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I know this person as a
Supervisor
Co-Worker
Friend
Other
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Reference 3
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Name
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Company
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Position
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Street Address
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City
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State
Zip
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Phone
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I know this person as a
Supervisor
Co-Worker
Friend
Other
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Please list any experience you have which would be relevant to the job for which you are applying: i.e., computer literacy, hobbies, etc. Why would you like to be a Wise Way team member?
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I understand that the Company reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law.
I authorize the Company to investigate my driving record, my criminal record and my credit history, and I understand that an investigative consumer report may be prepared whereby information is obtained through personal interviews with neighbors, friends and others with whom I am acquainted. This inquiry would include information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the scope of this investigation. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and other information pertinent to my employment with them. I also authorize the Company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information.
I certify that all of the information that I provide on this application and in any interview will be true and accurate. I understand that if I am employed and any such information is later found to be false or misleading in any respect, I may be dismissed.
DO NOT CLICK 'I AGREE' UNTIL YOU HAVE READ AND UNDERSTAND THIS STATEMENT
I Agree
I Do Not Agree
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You can submit your completed application to us electronically by clicking the Submit Button below, or
if you prefer you can click the Print Button to view a printer friendly version of your completed application.
THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF THIRTY (30) DAYS AND KEPT ON FILE FOR ONE YEAR. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. I CERTIFY THAT ALL OF THE INFORMATION I HAVE PROVIDED ON THIS APPLICATION IS TRUE AND ACCURATE.
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