Application for Employment

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It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or union affiliation. Therefore, answer only the questions asked and do not include any extraneous information which would indicate any of the above. Since we are an Equal Opportunity Employer, information relating to any of those factors has no place in our hiring process.

PERSONAL DATA

First name*

Last name*

Address*

Email*

Phone*

Best times to contact you:*

Position Desired:*

Date Available to Start:*

Are you a U.S. citizen or have a legal right to be employed in the U.S.?*

Yes

Do you have a position with another employer that would continue if employed by us?*

Yes

Can you work additional hours or days without prior notice?*

Yes

Have you ever been convicted of a felony, misdemeanor or released from prison in the past seven years?*

Yes

If Yes, please explain. (Note: A yes answer does not automatically disqualify you from employment, since the nature of the offense, date and type of job for which you are applying will be considered):

EMPLOYMENT HISTORY (Please list your present or most recent employer first)

May we contact your most recent employer?

Yes

Employer:

Employer Phone:

Employer Address:

Employed From - To

Supervisor's Name:

Reason for Leaving

Nature of work performed and responsibilities:

Employer:

Employer Phone:

Employer Address:

Employed From - To

Supervisor's Name:

Reason for Leaving

Nature of work performed and responsibilities:

Employer:

Employer Phone:

Employer Address:

Employed From - To

Supervisor's Name:

Reason for Leaving

Nature of work performed and responsibilities:

Please explain any gaps in dates of employment:

Have you ever worked with or for any employees of this company who would be willing to give you a good reference? If so, who?

EDUCATION

High School Attended:

Highest Level Completed

College Attended:

Highest Level Completed:

Major / Course of Study

Graduate/Business/Trade School Attended:

Major / Course of Study

Certifications (please list type and date):

Please list any special skills or training, or anything else you wish to share with us about yourself:*

Contact Us

1011 Barnes Street

New Kensington, PA 15068

(878) 847-7997

admin@kneadcommunitycafe.org

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Knead Community Cafe is a registered 501(c)3 charitable organization