Application for Employment

Personal Info

Name:*
(Last, First, Middle)		 ,
Address:*

* City * State * Zipcode
Social Security Number:
Home Phone:*
Cell Phone:
Are you eligible to work in the United States? Yes  No  Date Of Birth:* format: month/date/year
Have you been convicted of a Crime? If so please explain, including dates. Yes  No 
Are you 18 years of age or older? Yes  No  If NO, what is your current age?
Have you ever been employed by GoldCoast Salads? Yes  No  If YES, dates of employment & reason for leaving:
Are you related to any current GoldCoast Salads employee? Yes  No  If YES, their name & their relationship to you?
If required for position, do you have a valid driver’s license? Yes  No  If YES, State of issuance, license #, and expiration date:

Education

Hight School:
City / State:  
Did you graduate? Yes  No 
If No, # of years left to graduate
If Yes, date of Graduation
Degree received
Major

GED:
City / State:  
Did you graduate? Yes  No 
If No, # of years left to graduate
If Yes, date of Graduation
Degree received
Major

College:
City / State:  
Did you graduate? Yes  No 
If No, # of years left to graduate
If Yes, date of Graduation
Degree received
Major

PLEASE NOTE: GoldCoast Salads reserves the right to contact all current and former employers for reference information.

Dates Employed (most recent position)
From To
Full Time 
Part-time 
Seasonal 
 Position:

Organization Name:

Organization Address:
Supervisor’s Name:
Supervisor’s Title:
Supervisor’s Phone #:
Contact my current references: At any time 
Only if I am a finalist candidate 
Primary duties:
Reason for Leaving:

Dates Employed (most recent position)
From To
Full Time 
Part-time 
Seasonal 
 Position:

Organization Name:

Organization Address:
Supervisor’s Name:
Supervisor’s Title:
Supervisor’s Phone #:
Contact my current references: At any time 
Only if I am a finalist candidate 
Primary duties:
Reason for Leaving:

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION. I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize GoldCoast Salads, INC} to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of GoldCoast Salads, Inc serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. If employed on a regular, benefits-eligible basis, I understand that I would be required to make mandatory contributions to the GoldCoast Salads, Inc Retirement System or to an optional retirement program, if applicable. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I understand that the first THREE MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal.

GoldCoast Salads, Inc is an Equal Opportunity Educational Institution and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

  I agree to these terms.

Products

  • maine-lobster-spread
  • blue-crab-spread
  • smoked-salmon-spread
  • albacore-tuna-spread

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