Savvy Employment Application Form

Thank you for your interest of employment with us. Please complete this form as thoroughly and accurately as possible. This information will help us determine if you are a good fit for any of our open positions.

Date

YYYY

PERSONAL INFORMATION

Name

First Name

Last Name

Current Address

Phone

(###)

###

####

Instagram

Position Applied For

Desired Salary

Per hour or Per year

Employment Desired

EMPLOYMENT ELIGIBILITY

Are you a US Resident or Citizen

If no, are you permitted to work in the US?

Have you ever been convicted of a crime?

If YES, please list the number of convictions, the nature of the offense(s) leading to a conviction, how recent was/were the offense(s) committed (date), and any relevant information.

CERTIFICATIONS

Do you hold a valid Food Handlers Certificate (obtained in the US)?

List any special training and/or certifications held

EDUCATION

High School Diploma / GED

HS Diploma

GED

None

High School (If applicable)

Graduation Month/Year (if applicable )

Location: Street Address/City/State/Zip

College (if applicable )

Location: City/State

Graduation or Anticipated Graduation Date

Degree Type

EMPLOYMENT HISTORY

List your previous employers from most recent to least recent

Previous Employer #1

Time Worked

Previous Employer #2

Time Worked

Previous Employer #3

Time Worked

Available Start Date

I certify that the answers provided above are true and complete to the best of my knowledge.

Acknowledged

I authorize investigation of any statement contained in this application for employment as it may be necessary in arriving at an employment decision.

Authorized

In the event of employment, I understand that any false information given on my application or interview may result in termination of employment.

Acknowledged