Employment Application
Full Name:
Address:
City:
State:
Zip:
Phone:
Mobile:
E-mail:
Date Availably to Start:
Salary Requirements:
Are you legally allowed to work in the United States?
Yes
No
Type of employment desired:
Full-Time
Part-Time
Temporary
Seasonal
Have you ever pleaded guilty, no contest or been convicted of a crime?
Yes
No
If Yes, give dates and details:
Answering yes to these questions does not constitute an automatic rejection for
employment. Date of the offense, seriousness and nature of the violation, rehabilitation and
position applied for will be considered.
Summarize Your Special Skills or Qualifications
Previous Employment (begin with most recent position)
Dates of Employment: From
To
Position Held
Company Name:
Address:
City:
State:
Zip:
Phone:
Supervisor:
Title:
Responsibilities:
Starting Salary and Title:
Ending Salary and Title:
Reason for Leaving:
May we contact this employer for a reference?
Yes
No
Previous Employment (begin with most recent position)
Dates of Employment: From
To
Position Held
Company Name:
Address:
City:
State:
Zip:
Phone:
Supervisor:
Title:
Responsibilities:
Starting Salary and Title:
Ending Salary and Title:
Reason for Leaving:
May we contact this employer for a reference?
Yes
No
Previous Employment (begin with most recent position)
Dates of Employment: From
To
Position Held
Company Name:
Address:
City:
State:
Zip:
Phone:
Supervisor:
Title:
Responsibilities:
Starting Salary and Title:
Ending Salary and Title:
Reason for Leaving:
May we contact this employer for a reference?
Yes
No
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my
personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release
employers, schools or individuals from all liability when responding to inquiries in connection with my application.
In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge. I
agree to a ninety day trial employment.
Name of Applicant Date
Palette
Catering and Event Planning
jeremy@palettecatering.com