APPLICATION FOR EMPLOYMENT
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1 APPLICATION FOR EMPLOYMENT We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. (PLEASE PRINT) POSITIONS APPLIED FOR: DATE: How did you learn about us? Q Advertisement Q Friend Q Walk-in Q Employment Agency Q Relative Q Other NAME (Last, First, Middle): ADDRESS: CITY: STATE: ^ ZIP: PHONE NUMBER: ( ) SOCIAL SECURITY #: If you are under 18 years of age, can you provide required proof of your eligibility to work? Have you ever filed an application with us before? Have you ever been employed with us before? Are you currently employed? May we contact your present employer? If yes, date: If yes, date: a Yes Q No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? QYes QNo Proof of citizenship or immigration status will be required upon employment On what date would you be available for work? Are you available to work Q Full Time Q Part Time Q Shift Work Q Temporary Are you currently on "lay-off" status and subject to recall? Q No Can you travel if a job requires it? Q No Have you ever been convicted of a felony/misdemeanor? Q No Conviction will not necessarily disqualify an applicant from employment If yes, please explain: G-17 Form HR-F101
2 EDUCATION Elementary School Name & Address of School Course of Study Years Completed Diploma/ Degree High School Undergraduate College Graduate Professional Other (Specify) any additional information you feel may be helpful to us in considering your application. NOTE TO APPLICANT: Do not answer this question unless you have been informed about the requirements of the job for which you are applying. Are you capable of performing in a reasonable manner the activities involved in the job or occupation for which you have applied? A description of the activities involved in such a job or occupation is attached. QYes QNo REFERENCES 1. Name L Phone Address 2. Name Phone Address TAHER, INC. IS AN EQUAL OPPORTUNITY EMPLOYER G-18 FormHR-FlOl
3 EMPLOYMENT EXPERIENCE Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities or other protected status. List professional, trade, business or civic activities and offices held. You may exclude membership that would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status. G-19 Form HR-F101
4 PROFESSIONAL FOOD SERVICE MANAGEMENT Taher, Inc. is a regional company providing specialized professional food service management services to school districts, technical and community colleges, cafeterias and health care facilities since As an aggressive organization, Taher, Inc. has proven itself as a major force in the Region. The philosophy of Taher, Inc. is Commitment -- Commitment to Service, believing the customer is always right; Commitment to Quality, believing that quality should never be compromised; and Commitment to You, believing our employees are the asset in -which to achieve the best service and quality. Your employment with Taher, Inc. will be in accordance with the terms of this application and all company policies, and any amendments thereto. Taher, Inc. shall reserve the right to amend, modify or revoke its company policies at any time. If hired, it is your responsibility to familiarize yourself with these policies and abide by them. If you are offered a position with Taher, Inc., you may be asked to complete a Medical History form, and any offer of employment is contingent upon the results being satisfactory for the food service industry and the requirements for the position that you have been offered. / certify that the answers given on this application are true and complete to the best of my knowledge. I understand and consent to an inquiry that may include information as to my character, general reputation and personal characteristics, whichever may be applicable. This information may include, but is not limited to, verification of previous employment and employment references; verification of education, including requests for transcript; credit reports; motor vehicle driving records; and criminal reports. I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation. In accordance with law, I hereby release from all liability or responsibility all persons, companies, organizations or corporations furnishing such information. I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Taher, Inc. is of an "at will" nature, which means that I may resign my position at any time and that Taher, Inc. may terminate my employment at any time with or without cause. I further understand that this "at will" employment with Taher, Inc. may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by the President of Taher, Inc. In the event of my being employed, I understand that any false or misleading information given on my application or interview(s) may result in discharge. I understand also, that I am required to abide by any and all company rules and policies. Signature of Applicant Date G-20 FormHR-FlOl
5 BACKGROUND INVESTIGATION AUTHORIZATION FORM (PLEASE READ CAREFULLY BEFORE SIGNING) The amended Fair Credit Reporting Act (1997) requires that we inform you that a background investigation may be conducted as part of our employment screening and selection process. This may include an inquiry to obtain information regarding your character, general reputation and mode of living. The main objective of the investigation is to verify information you provided on your application or during the interview process. Upon your written request within a reasonable period of time, additional information as to the nature and scope of the report, if one is made, will be provided. In addition, if a report is made, you have the right to request details of the report from the consumer reporting agency. The items of information requested below are needed to process your background investigation. They are intended solely for that purpose and will not be used in a discriminatory manner for the making of business decisions. Date of Birth: (Month, Day, Year) Social Security # Driver's License # Current Address Other Names Used & Date Changed (Including Maiden Name) MUST LIST PRIOR ADDRESSES BELOW HOME ADDRESSES FOR THE LAST 7 YEARS, IF DIFFERENT THAN CURRENT ADDRESS: STREET ADDRESS CITY STATE ZD? CODE COUNTY FROM (MONTH/YEAR) TO (MONTH/YEAR Have you ever been convicted of a felony or misdemeanor? YES NO (Driving infractions, other than speeding tickets, ARE considered misdemeanors) If yes, please explain: What County, and year? I authorize Taher, Inc. and/or their agents to investigate my background as it pertains to employment or appointment considerations. This may include investigations of employment history and performance, personal/professional references, education history, licenses and information contained in public records, including, but not limited to, credit, criminal, motor vehicle data and worker's compensation. I release all persons, companies or corporations furnishing such information from liability and responsibility. A copy of this document may be substituted for the original. (MN/CA Residents Only): Do you wish to receive a copy of your consumer report? YES NO Printed Full name of Applicant Signature of Applicant Date Position Applying For: HR-F106 Updated 10/11 Unit#
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