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Employment Application 2

Chasity Bascomb is applying for a cook or overtime position at Zaxby's. She provides her contact information, availability, and authorization to work in the US. Bascomb attended Minor High School and did not graduate. Her references are Jacolbi B., Juwan W., and Mrs. Knight. She has not held previous jobs and has no military experience. Bascomb signs and dates her application.

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82 views3 pages

Employment Application 2

Chasity Bascomb is applying for a cook or overtime position at Zaxby's. She provides her contact information, availability, and authorization to work in the US. Bascomb attended Minor High School and did not graduate. Her references are Jacolbi B., Juwan W., and Mrs. Knight. She has not held previous jobs and has no military experience. Bascomb signs and dates her application.

Uploaded by

api-311096692
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Zaxbys

Employment Application
Applicant Information
Full Name:

Bascomb
Last

Address:

Chasity

Amya

First

M.I.

Date:February 22,2016

2421 crossbow drive


Street Address

Phone:

Apartment/Unit #

birmingham

AL

35214

City

State

ZIP Code

205-821-9803

Date Available:

ANY

Email [email protected]
Social Security No.:420-2565-45

Desired Salary:$200-$400

Position Applied for: Cook , Overtime


Are you a citizen of the United States?
Have you ever worked for this company?
Have you ever been convicted of a felony?

YES

NO

YES

NO

YES

NO

If no, are you authorized to work in the U.S.?

YES

If yes, when?

If yes, explain:

Education
High School:

Minor high school

From:

To:

Address:2285 Minor Pkwy, Adamsville, AL 35005


Did you graduate?

College:
From:

NO

YES

NO

YES

NO

Diploma::

Address:
To:

Did you graduate?

Other:
From:

YES

Degree:

Address:
To:

Did you graduate?

Degree:

References
Please list three professional references.
Full Name: Jacolbi b.

Relationship:Friend

Company:

Phone:205-276-3346
1

NO

Address:
Full Name: Juwan W.

Relationship: Neighbors

Company:

Phone:205-903-8011

Address:
Full Name: Mrs.knight

Relationship: Friend

Company:

Phone:205-207-6173

Address:

Previous Employment
Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

Reason for Leaving:


YES

May we contact your previous supervisor for a reference?

NO

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

Reason for Leaving:


YES

May we contact your previous supervisor for a reference?

NO

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:
From:

To:

Reason for Leaving:


YES

May we contact your previous supervisor for a reference?

NO

Military Service
Branch:

From:

Rank at Discharge:

To:

Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature


I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my release.
Signature:

Chasity A. Bascomb

Date: February 22, 2016

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