Personal Information

Are you legally authorized to work in the United States?
*All applicants who are offered employment will be required to present documentation verifying identity and authorization to work in the United States in accordance with the Immigration Reform and Control Act of 1986. *
Have you ever been convicted of a felony? *

Availability

Days Available *
Shift preference: *

Employment History

Employer 1
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May we contact?
 
 
 
Employer 2
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May we contact?
 
 
 
Employer 3
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May we contact?

References

Reference 1
 
 
Reference 2
 
 
Reference 3
I certify that the statements contained in this application are true and complete to the best of my knowledge and I understand that if I become employed by Frugal Fannie's, misrepresentation or falsification of statements on this application shall be grounds for dismissal.

I hereby authorize the Company to investigate and verify all the information provided by me, and I further authorize the Company to conduct a background check regarding my character, employment, education, credit (according to the Fair Credit Report Act as amended), and criminal history prior to extending an offer of employment, and at any time during my employment.

I understand that employment is subject to acceptable education, employment and other references as applicable. I hereby authorize that all my present and former employers and those individuals I have listed as personal references who furnish information about my employment record, work performance, abilities and other qualities pertinent to my qualifications for employment, are released from any and all liability for damages arising from furnishing the requested information. In consideration of my employment, I agree to comply with the policies, rules, regulations and procedures of the Company and understand that my employment and compensation can be terminated at any time with or without cause or notice at the option of either the Company or myself. I understand that no policy, benefit, or procedure contained in any handbook creates an employment contract for any period of time, and no terms or conditions of employment contrary to the foregoing should be relied upon except for those made in writing by a designated officer of the company.

I understand and agree that if I become employed by Frugal Fannie's, my employment is at will and is for no definite period and may be terminated at any time, with or without cause, with or without previous notice. (“An applicant for employment with a sealed record expunged pursuant to section 100F, section 100G, section 100H or section 100K of chapter 276 of the General Laws may answer ‘no record’ with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. An applicant for employment with a record expunged pursuant to section 100F, section 100G, section 100H or section 100K of chapter 276 of the General Laws may answer ‘no record’ to an inquiry herein relative to prior arrests, criminal court appearances, juvenile court appearances, adjudications or convictions.”) Date Signature FORMER EMPLOYERS AVAILABILITY: Please check the days and times available for work. Relationship to You Business Years Name Address Phone # Acquainted 1 2 3 Date Month and Year Position - Duties Reason for Leaving Name and Address of Employer REFERENCES Provide the names of three persons not related to you, whom you have known for at least one year. SUN MON TUE WED THU FRI SAT List all work experience, military service, self employment and periods unemployed. Volunteer work is considered valid employment. Name and Phone # of Supervisor A.M. P.M. REV *
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