Job Application

Please complete all requested information. The application will be submitted to jobs@campuscanteen.com Please note that resumes will not be accepted in place of this application.

Campus Canteen^TM considers applicatns for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

DATE OF APPLICATION:

Do you have any tickets or traffic violations in the past 3 years? Yes No

First Name: Middle Initial: Last Name:

Email: Street: City: State: Zip:
Phone Number:
Cell Number:
Over 18? Yes No If NO, Age:

Have you ever worked in a Campus Canteen^TM store before? Yes No If YES, please give date, location, and reason for leaving:

Position for which you are applying?
Desired Pay: Drivers License Number State Available Start Date Amount of work: Full-Time Part-Time
Hours Available: M TU W
TH F SA SU
How did you hear about us?

Name and location of school(s)	Graduate? Yes/No	Degree Awarded	Major Area of Study
High School	Yes No
College	Yes No
Other	Yes No
List any other education, specialized training, skills, or licenses that you have recieved that might be related to this position:

Employement History

Please list ALL JOBS you have held for the past three yeras, beginning with the most recent employer.

1) Company Location
Phone # Job
Supervisor Dates Worked From To
Salary Reason for Leaving
May we contact this employer for a reference? Yes No

2) Company Location
Phone # Job
Supervisor Dates Worked From To
Salary Reason for Leaving
May we contact this employer for a reference? Yes No

3) Company Location
Phone # Job
Supervisor Dates Worked From To
Salary Reason for Leaving
May we contact this employer for a reference? Yes No

4) Company Location
Phone # Job
Supervisor Dates Worked From To
Salary Reason for Leaving
May we contact this employer for a reference? Yes No

A record or conviction does not necessarily disqualify you from employment consideration. During the past seven years, have you ever been convicted of a crime, excluding misdemeanors and traffic violations? Yes No

1. I certify that the information contained on this application is correct to the best of my knowledge and understand that any omission or erroneous information is grounds for dismissal in accordance with the policy of Campus Canteen^TM. 2. I authorize the references listed above to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. 3. I acknowledge that Campus Canteen^TM reserves the right to amend or modify our policies at any time without prior notice. These policies do not create any promises or contractual obligations between Campus Canteen^TM and its employees. At Campus Canteen^TM my employment is at will. This means I am free to terminate my employment at any time, for any reason, with or without cause, and Campus Canteen^TM retains the same rights. Campus Canteen^TM is solely responsible for all terms, conditions and any other issues concerning my employment.

Signature

Yes No Agree to Terms

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