SALSA VERDE Job Application

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Fields

Name*

First Name*

Last Name*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Contact Phone*

Email*

Position Applying For

Location(s) Applying For*

Verde, Flavors of Mexico: 11680 Commercial Dr, Fishers, IN 46038 Verde, Flavors of Mexico: 1111 W. Main St. Carmel IN 46032 Salsa Verde: 634 W. Veterans Parkway, Yorkville, IL 60560 Salsa Verde: 1850 Lincoln Highway, St. Charles, IL 60174 Salsa Verde: 2970 US Highway 34, Oswego, IL 60543 Salsa Verde: 55 S. Raceway Dr., Indianapolis, IN 46231 Salsa Verde: 107 N. Batavia Ave., Batavia, IL 60510

Employment Desired*

Full-time Part-time Either

Able to work Saturdays?*

Yes No

How many hours can you work weekly?

Are you 18 or older?*

Yes No

Are you currently employed?*

Currently employed Laid off permanently Seasonal layoff Currently unemployed

Work History

Company*

May we contact this employer?*

Yes No

Last Position Held

From

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Month

Day

Year

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Month

Day

Year

Reason for leaving?

be specific

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Work History II

Company

May we contact this employer?

Yes No

Last Position Held

From

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Month

Day

Year

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Month

Day

Year

Reason for leaving?

be specific

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Work History III

Company

May we contact this employer?

Yes No

Last Position Held

From

https://www.formstack.com/forms/images/2/calendar.png

Month

Day

Year

https://www.formstack.com/forms/images/2/calendar.png

Month

Day

Year

Reason for leaving?

be specific

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Education

Highest Level Completed

Name of School

Location of School

Number of Years Completed

Major/Degree Earned

Do you have a valid drivers license?*

Yes No

What is your desired pay per hour?*

Tell us about yourself. Short and long term goals? Strengths and weaknesses? Why should we hire you?*

Have you ever been convicted of a felony?*

Yes No

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.*

Contact Information (References) for your last two employers and at least one personnal reference.*

I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.*

Yes No

How did you find out about this position?

Current Employee Career Fair Newspaper Ad Radio/TV Ad Search Engine

Other: Other Value

Additional info (optional)