Last Name* First Name* Middle Initial Address Street Address City State ZIP Phone*Email* Social Security Number Position(s) applied for* Minimum Salary Requirement* Available to work:*Check all that apply Full time Part time 1st Shift 2nd Shift 3rd Shift Days & hours available*Are you currently employed?* Yes No May we contact your employer?* Yes No Are you currently on "lay off" status and subject to recall?* Yes No On what date will you be available to start work?*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20252024I am CURRENTLY a temp at Sweet Street through the following temp agency* I am CURRENTLY a temp at Sweet Street through the following temp agency I worked at Sweet Street BEFORE as a temp through the following agency I was previously employed by Sweet Street Desserts I have never been employed by Sweet Street Desserts Agency name* Dates of employment* How did you learn about us? Have you ever filed an application with us before?* Yes No Date of previous application* If you are under 18 years of age, can you provide required proof of your eligibility to work in the position(s) and shift(s) indicated above? Yes No Employment ExperiencePlease list ALL TEMP / EMPLOYMENT AGENCIES you have worked for.Please list ALL companies you have worked for DIRECTLY (NOT THROUGH A TEMP AGENCY), starting with the most recent. First select the number of companies you will be listing below.*12345Employment History #1Company Name* Location* Supervisor Name* Phone Number*Hire Date* Termination Date* Job Title* Job Duties* Starting Wage* Ending Wage* Termination type* Voluntarily Quit Involuntary Termination Termination reason* Employment History #2Company Name* Location* Supervisor Name* Phone Number*Hire Date* Termination Date* Job Title* Job Duties* Starting Wage* Ending Wage* Termination type* Voluntarily Quit Involuntary Termination Termination reason* Employment History #3Company Name* Location* Supervisor Name* Phone Number*Hire Date* Termination Date* Job Title* Job Duties* Starting Wage* Ending Wage* Termination type* Voluntarily Quit Involuntary Termination Termination reason* Employment History #4Company Name* Location* Supervisor Name* Phone Number*Hire Date* Termination Date* Job Title* Job Duties* Starting Wage* Ending Wage* Termination type* Voluntarily Quit Involuntary Termination Termination reason* Employment History #5Company Name* Location* Supervisor Name* Phone Number*Hire Date* Termination Date* Job Title* Job Duties* Starting Wage* Ending Wage* Termination type* Voluntarily Quit Involuntary Termination Termination reason* EducationPlease provide only work-related background, including general academic education.Education type High School College/University Business/Trade/Technical School name Location Number of years completed Diploma / Degree / Course of Study Describe any work-related training or apprenticeshipDescribe any honors you have receivedSpecial Skills and QualificationsSummarize special work-related skills and qualifications or experience operating or maintaining plant equipment or machines acquired from employment or other experience. If work-related, indicate any foreign language proficiency. If a license or certification is required, please provide details on your license or certification.Other InformationHave you ever had any work-related training in the United States military?* Yes No Please describe your military work-related training*Do you currently use illegal drugs* Yes No Have you been convicted of a felony within the last 7 years?*Conviction will not necessarily disqualify an applicant from employment. Yes No Please explain your felony conviction*Post-offer, Pre-employment TestingSweet Street Desserts is committed to providing a healthful, safe, efficient work environment that is free from substance abuse. I understand that, if I am otherwise qualified for employment, Sweet Street may extend to me a conditional offer of employment and such offer will be contingent upon my passing successfully a substance abuse screening test. With regard to certain positions, the substance abuse screening test may be part of a more comprehensive health screening examination. I also understand that I will not be hired if I test positive for an illegal drug, refuse to provide a specimen on the date and time required, refuse to consent to testing on the date and time required or provide a false or tampered specimen. I further understand that, if Sweet Street employs me, I will be subjected to Sweet Street’s Substance Abuse Policies. Included among the provisions of the Substance Abuse Policy are requirements for drug and/or alcohol testing whenever Sweet Street has reason to believe that an individual may be under the influence of drugs and/or alcohol while on duty or on the premises of Sweet Street. I release Sweet Street Desserts, Inc., its officers, managers and representatives from any liability for the conducting of pre-employment drug testing and for the use of and/or reliance upon the results of the drug test in reaching a decision related to my employment. I authorize the drug testing facility utilized by Sweet Street Desserts to make use or disclosure of Protected Health Information in connection with the pre-employment drug screen and in connection with future drug testing required by the provisions of the Substance Abuse Policy during the course of employment.Applicant's StatementI certify that answers given herein are true and complete to the best of my knowledge, and that I have personally completed this application without assistance. I understand that providing false or misleading information or withholding information may result in rejection of my application or termination of employment. This application for employment shall be considered active for a period of time not to exceed 60 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby give Sweet Street Desserts, Inc. the authorization to make thorough investigation into my previous employment, education and references; and I release from all liability all persons, companies and corporations supplying such information. I release, indemnify and hold harmless Sweet Street Desserts, Inc. from and against any and all liability, which might result from making such an investigation. In compliance with the federal Immigration Reform and Control Act, I agree, if hired, to provide within three (3) business days from the date my employment begins, proof of my identity and eligibility for employment in the United States. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship established with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. I understand, also, that I am required to abide by all rules and regulations of the employer. Signature*Type your name to affirm the above.
