List all previous employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities. Please indicate if you were employed under a different name. Work history must be completed even if you have submitted a resume. Present or most recent employer first.

Start date ?

Currently Employed ?

End Date ?

May We Contact this Employer ?

Yes No

Start date ?

Currently Employed ?

End Date ?

May We Contact this Employer ?

Yes No

Start date ?

Currently Employed ?

End Date ?

May We Contact this Employer ?

Yes No

Start date ?

Currently Employed ?

End Date ?

May We Contact this Employer ?

Yes No

Status ?

full time 40 hours/week
full time 30+hours/week
part time 12-29 hours/week
Temporary Less Than 12 hrs

Days Available ?

Hours Available ?

Monday

Tuesday

Wednesday

Thursday

Friday

Have you ever been employed by ChefAdvantage in any capacity?

Yes No

Have you previously been denied employment by ChefAdvantage?

Yes No

Are you legally eligible for employment in the United States?

Yes No

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes No

ChefAdvantage

is a smoke-free, drug-free employer. Will you be able to comply with this policy?

Yes No

Read the following carefully and answer truthfully. Conviction of a crime may not automatically disqualify an applicant from employment; circumstances may be considered? GIVING FALSE INFORMATION MAY DISQUALIFY AN APPLICANT FROM EMPLOYMENT. If you are not sure of the court disposition case, list all other information requested below:

Have you EVER been convicted of a crime? DO NOT ASSUME CHARGES OR CONVICTIONS HAVE BEEN REMOVED!

If your answer is yes to any of the above, list the following information: Charge/Offense, Date, Arresting Agency/Location, and Court Disposition.

Are there any pending, unresolved criminal charges. against you? If yes, explain fully

Have you received any tickets for traffic offenses Please include all?

Have you ever been fired or asked to resign ? If yes, explain fully

STAND-ALONE DOCUMENT: DISCLOSURE AND AUTHORIZATION DISCLOSURE OF INTENT TO OBTAIN CONSUMER REPORTS OR INVESTIGATIVE CONSUMER REPORTS.

DISCLOSURE OF INTENT TO OBTAIN CONSUMER REPORTS OR INVESTIGATIVE CONSUMER REPORTS.

For employment purposes, the Company may obtain consumer reports on you as an applicant or from time to time during employment. "Consumer reports" are reports from consumer reporting agencies and may include driving records, criminal background, etc. For such employment purposes, the Company may also obtain investigative consumer reports. Some reference checks by a consumer reporting agency fall into this category. An "investigative consumer report" is a consumer report in which information as to character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with neighbors, friends, associates, acquaintances, or others. You have a right to request disclosure of the nature and scope of an investigation and to request a written summary of consumer rights.

AUTHORIZATION (CRIMINAL BACKGROUND CONSENT)

I authorize the Company to obtain consumer reports and/or investigative consumer reports regarding me from time to time for employment purposes.

Read the following carefully before signing.

STAND-ALONE DOCUMENT: DISCLOSURE AND AUTHORIZATION

DISCLOSURE OF INTENT TO OBTAIN CONSUMER REPORTS OR INVESTIGATIVE CONSUMER REPORTS

For employment purposes, the Company may obtain consumer reports on you as an applicant form time to time during employment. “Consumer reports” are from consumer reporting agencies and may include driving records, criminal background, etc.

For such employment purposes, the Company may also obtain investigative consumer reports. Some reference checks by a consumer reporting agency fall into this category. An “investigative consumer report” is a consumer report in which information as to character, general reputation, personal characteristics, or mode of living is obtained through personal interview with neighbors, friends, associates, acquaintances, or others. You have a right to request disclosure of the nature and scope of an investigation and to request a written summary of consumer rights.

AUTHORIZATION (CRIMINIAL BACKGROUND CONSENT)

I authorize the Company to obtain consumer reports and/or investigative consumer reports regarding me from time to time for employment purposes.

1. Company

2. Company

3. Company

4. Company

1. Reference

2. Reference

3. Reference

Which Job Status/Shift Would You Accept? (Please Check All That Apply)

ChefAdvantage

DISCLOSURE OF INTENT TO OBTAIN CONSUMER REPORTS OR INVESTIGATIVE CONSUMER REPORTS.

AUTHORIZATION (CRIMINAL BACKGROUND CONSENT)

I authorize the Company to obtain consumer reports and/or investigative consumer reports regarding me from time to time for employment purposes.

Read the following carefully before signing.

Applicant Email Address

DATE: 04-27-2024

Please Draw You'r Signature