Employment Application for Hollywood Candy

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status.

Position applied for _________________________________________________ Date __________________

How did you find out about this job? ___________________________________________________________
Why are you seeking a new job at this time? ______________________________________________________

First Name ______________________ Middle ____________________ Last _________________________

Street Address ___________________________________________________________________________
City/State/Zip ____________________________________________ Phone (______) __________________
If hired, do you have transportation to work? _______ Describe ______________________________________
Are you at least 18 years old? _______ If you are under 18 years of age, can your furnish a work permit? _______
Are you eligible for employment in the U.S.? _______ (Proof of U.S. citizenship is required if hired)
Have you been convicted of a crime? _______ If yes, state the nature of the offense and the disposition of the case.
Include dates and places. (Note: The existence of a criminal record does not constitute an automatic bar to employment.)
_______________________________________________________________________________________
Are you seeking full time, part time, or temporary employment? _______________________________________
What shifts are you available to work? (For each days AM and PM shift write the specific times you are available for
each time period. If you have full availability, you may write all.)

Sun
AM

Mon
AM

Tues
AM

Wed
AM

Thurs
AM

Fri
AM

Sat
AM

PM

PM

PM

PM

PM

PM

PM

List times you are absolutely not available to work? _________________________________________________

What position are you applying for? ____________________________________________________________
Are you currently employed? _______ If hired, when would you be able to start? __________________________
Have you ever worked for this organization before? _______ If yes, name used: ___________________________
List any friends or relatives employed by this company: ______________________________________________

Level of primary education completed:

1 2 3 4 5 6 7 8 9 10 11 12 GED

Name of last school attended _____________________________ Location of School ____________________

Level of college education completed:

0 1 2 3 4 5 6 7 8

Name of school attended ________________________________ Location of School ____________________

Degree & Major _______________________________________ Minor _____________________________
Name of school attended ________________________________ Location of School ____________________
Degree & Major _______________________________________ Minor _____________________________

1. Company _________________________________________ Phone (_____) ______________________

Address __________________________________________ City/State/Zip _______________________
Dates of Employment: From ___/___/___ to ___/___/___ Salary: Beginning __________ Ending __________
Job Title ___________________________ Supervisors Name and Title _____________________________
Describe duties briefly: __________________________________________________________________
Specify reason for leaving: _________________________________________________________________
2. Company _________________________________________ Phone (_____) ______________________
Address __________________________________________ City/State/Zip _______________________
Dates of Employment: From ___/___/___ to ___/___/___ Salary: Beginning __________ Ending __________
Job Title ___________________________ Supervisors Name and Title _____________________________
Describe duties briefly: __________________________________________________________________
Specify reason for leaving: _________________________________________________________________
3. Company _________________________________________ Phone (_____) ______________________
Address __________________________________________ City/State/Zip _______________________
Dates of Employment: From ___/___/___ to ___/___/___ Salary: Beginning __________ Ending __________
Job Title ___________________________ Supervisors Name and Title _____________________________
Describe duties briefly: __________________________________________________________________
Specify reason for leaving: _________________________________________________________________
4. Company _________________________________________ Phone (_____) ______________________
Address __________________________________________ City/State/Zip _______________________
Dates of Employment: From ___/___/___ to ___/___/___ Salary: Beginning __________ Ending __________
Job Title ___________________________ Supervisors Name and Title _____________________________
Describe duties briefly: __________________________________________________________________
Specify reason for leaving: _________________________________________________________________
May we contact the employers listed above? _______ If not, list the employers you do not wish us to contact and why:
_______________________________________________________________________________________