Alaska Chefs 4 Hire
APPLICATION FOR EMPLOYMENT
Completion of this form in no way constitutes an offer of employment. The information requested to provide us with information necessary to consider you for any current or future job openings for which you may qualify.

Last Name
First Name
M.I.

Street Address
City
State



Zip Code
Phone Number
Email


1. Have you ever been convicted of a: felony?
misdemeanor involving moral turpitude?
Yes No
Yes No



If yes to either question, explain below the nature of the offense, date and location. Convictions are evaluated in relation to the applied for position. Explain:


2. Can you provide verication of your eligibility to work in the U.S.?
Yes No


3. Use the space below to list job related licenses, registrations, certicates, with their numbers, and expiration dates. Provide additional comments or information that would be of assistance in considering you for this position.
EDUCATION AND TRAINING

College, Universities, Trade
or Business Schools




City, State (List
campus attended)




Dates Attended
(Mo/Yr to Mo/Yr)



Degree/Diploma and
date received


Semester
Hours Earned

Quarter
Hours Earned



Major Area of Study


FORMER EMPLOYERS

EMPLOYER #1
Hours Per Week
From (Mo/Yr):
To (Mo/Yr):


EMPLOYER
Company Name
Address
City, State, Zip
Phone Number
SALARY
Starting
Per (week, month, year)
Ending
Per (week, month, year)
OTHER
Position
Supervisor's Name
Reason for leaving
Duties

EMPLOYER #2
Hours Per Week
From (Mo/Yr):
To (Mo/Yr):


EMPLOYER
Company Name
Address
City, State, Zip
Phone Number
SALARY
Starting
Per (week, month, year)
Ending
Per (week, month, year)
OTHER
Position
Supervisor's Name
Reason for leaving
Duties

EMPLOYER #3
Hours Per Week
From (Mo/Yr):
To (Mo/Yr):


EMPLOYER
Company Name
Address
City, State, Zip
Phone Number
SALARY
Starting
Per (week, month, year)
Ending
Per (week, month, year)
OTHER
Position
Supervisor's Name
Reason for leaving
Duties

EMPLOYER #4
Hours Per Week
From (Mo/Yr):
To (Mo/Yr):


EMPLOYER
Company Name
Address
City, State, Zip
Phone Number
SALARY
Starting
Per (week, month, year)
Ending
Per (week, month, year)
OTHER
Position
Supervisor's Name
Reason for leaving
Duties

EMPLOYER #5
Hours Per Week
From (Mo/Yr):
To (Mo/Yr):


EMPLOYER
Company Name
Address
City, State, Zip
Phone Number
SALARY
Starting
Per (week, month, year)
Ending
Per (week, month, year)
OTHER
Position
Supervisor's Name
Reason for leaving
Duties
If presently employed, may we contact your employer?
Yes No N/A
RESUME
If desired attach resume in PDF or DOC format
STATEMENT OF CERTIFICATION
By initialing and dating this application, I certify under penalty of law that the information provided anywhere in this application is true, correct and complete to the best of my knowledge and belief. I also acknowledge that should investigation at any time disclose any misrepresentation or falsication, my resume may be rejected, my name may be removed from further consideration, and I may be disqualied from future examinations and/or terminated from employment. I also authorize the hiring agent to make all necessary and appropriate investigations allowable by law to verify the information provided.
Initials
Date


Alaska Chefs 4 Hire PO BOX 686, Sitka, AK 99835 | (602) 739-0684
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