Careers Employee Application AN EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION EMPLOYER M/F/H/V "*" indicates required fields Step 1 of 7 14% APPLICANT INFORMATIONIn order for you to be considered for employment, the application must be filled out COMPLETELY.Date Of Application MM slash DD slash YYYY Which location are you applying for? 6501 Panama Lane Bakersfield, CA 93313 6010 E. Lerdo Hwy. Shafter, CA 93263 35300 Merle Haggard Drive, Bakersfield, CA 93308 2051 Taft HWY, Bakersfield, CA 93313 Select AllName First Last PhoneEmail Current Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Previous Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you under 21 years of age?NoYesSocial Security Number: If yes, date of birth MM slash DD slash YYYY Have you worked for any of our locations?*NoYesWhich location(s)? 6501 Panama Lane Bakersfield, CA 93313 6010 E. Lerdo Hwy. Shafter, CA 93263 35300 Merle Haggard Drive, Bakersfield, CA 93308 2051 Taft HWY, Bakersfield, CA 93313 Select AllFrom MM slash DD slash YYYY To MM slash DD slash YYYY Are you a U.S. Citizen?YesNoAre you authorized to work in the U.S.?YesNoHave you ever been convicted of a felony?NoYesPlease explain:(Convictions will not necessarily exclude you from employment, dates and type on conviction will be considered for job placement.) AVAILABILITY/POSITIONDate Available MM slash DD slash YYYY Desired Salary Position Applying for: Referred by: Are you able to work:Full-TimePart-TimeHow many hours are you able to work weekly? AM Availability Sunday Monday Tuesday Wednesday Thursday Friday Saturday Select AllPM Availability Sunday Monday Tuesday Wednesday Thursday Friday Saturday Select All Please answer the following questions honestly.Are you familiar with the cash register?YesNoDo you like working out doors?(windows,pump etc)YesNoDo you like working with a lot of people?YesNoWould you be interested in management or assistant management positions?YesNoAre you good with math?YesNoDo you consider yourself a friendly and outgoing person?YesNoIs there anything you would like us to know that may assist you in getting this job? EDUCATIONHigh School City State Last Year Completed*Freshman (1)Sophomore (2)Junior (3)Senior (4)Did you graduate?YesNoThird ChoiceYear Graduated College City State To From Did You Graduate?YesNoLast Year Completed*Freshman (1)Sophomore (2)Junior (3)Senior (4)Type of Certification/Diploma/Degree received: College To From City State Last Year Completed*Freshman (1)Sophomore (2)Junior (3)Senior (4)Did you graduate?YesNoThird ChoiceType of Certification/Diploma/Degree received: EMPLOYMENT HISTORYStart with present or most recent employmentCompany PhoneAddress Supervisor Job Title Starting Salary $Ending Salary $Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Company PhoneAddress Supervisor Job Title Starting Salary $Ending Salary $Responsibilities From To Reason for Leaving May we contact your previous supervisor for a referenceYesNo REFERENCESPlease list three references who have know you at least one year. Do NOT list former employers and/or relativesFull Name Relationship Years KnownPhoneAddress Full Name Relationship Years KnownPhone Address Full Name Relationship Years KnownPhone Address DISCLAIMERPHYSICAL RESTICTIONS OR LIMITATIONS | Do you have any restrictions or limitations that would interfere with your ability to perform the job for which you applying for? Examples may include back, joint, or limb impairments, allergies to food, chemicals, or cooking oils, asthma or other respiratory difficulties. (This information is necessary to avoid a job assignment which creates an occupational hazard or will result in substantial performance restrictions due to a personal, physical, mental, or medical restriction or limitation. All information is confidential.) Yes No If yes, please explain: I have completely read this application. It is our policy to hire only U.S. citizens and aliens who are lawfully authorized to work in the United States. All potential employees will be asked to verify employment eligibility prior to beginning work. I understand that misrepresentation or omission of facts called for is cause for termination. I understand that employment is contingent upon meeting the physical requirements of available positions and successful fulfillment of state requirements for licensing and registration. I also understand and agree that employment is for no definite period and may, regardless of the date of payment of wages, be terminated at anytime without prior notice and with or without cause. I authorize investigation of all statements in this application and of all other areas related to my eligibility for employment.Sign Below - Use your finger (mobile) or your mouse (desktop) to sign the application. Δ
