Today's
Date Month
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Day
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Year
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2005
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2014
2015
FirstName
Last
Name
Middle
Name
Address
City
State
...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
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OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip
Telephone
(
)
Email
Confirm
Email
If
you are under 18 years of age, can you provide required proof of
your eligibility to work?
...
Yes
No
Are
you prevented from lawfully becoming employed in this country
because of your Visa or Immigration Status? Proof of citizenship
or immigration status will be required upon employment.
...
Yes
No
Do
you have a valid Drivers License?
...
Yes
No
If
yes, please provide State and Number:
State
...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Number
Date
available to work?
Month
...
01
02
03
04
05
06
07
08
09
10
11
12
Day
...
01
02
03
04
05
06
07
08
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11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
...
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Are
you able to work:
Evenings
...
Yes
No
Weekends
...
Yes
No
Holidays
...
Yes
No
Have
you ever been convicted of a felony?
...
Yes
No
Have
you been convicted of a misdemeanor within the last five years?
...
Yes
No
If
yes to one or both of the above questions, you must explain
below even if you received a suspended imposition of a sentence.
Conviction will not necessarily disqualify an applicant from
employment.
Employment
History
May
we contact your present employer?
...
Yes
No
Most
Recent Employer
Address
Telephone
(
)
Date
Started
Month
...
01
02
03
04
05
06
07
08
09
10
11
12
Day
...
01
02
03
04
05
06
07
08
09
10
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12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
...
Before 2000
2000
2001
2002
2003
2004
2005
Starting
Salary
$
per
...
Hour
Week
Month
Year
Starting
Position
Date
Left
Month
...
01
02
03
04
05
06
07
08
09
10
11
12
Day
...
01
02
03
04
05
06
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13
14
15
16
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18
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20
21
22
23
24
25
26
27
28
29
30
31
Year
...
Before 2000
2000
2001
2002
2003
2004
2005
Salary
upon Leaving
$
per
...
Hour
Week
Month
Year
Position
upon Leaving
Name
of Supervisor
Title
of Supervisor
Reason
for Leaving
Description
of Duties
Employer
Address
Telephone
(
)
Date
Started
Month
...
01
02
03
04
05
06
07
08
09
10
11
12
Day
...
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
...
Before 2000
2000
2001
2002
2003
2004
2005
Starting
Salary
$
per
...
Hour
Week
Month
Year
Starting
Position
Date
Left
Month
...
01
02
03
04
05
06
07
08
09
10
11
12
Day
...
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
...
Before 2000
2000
2001
2002
2003
2004
2005
Salary
upon Leaving
$
per
...
Hour
Week
Month
Year
Position
upon Leaving
Name
of Supervisor
Title
of Supervisor
Reason
for Leaving:
Description
of Duties
Employer
Address
Telephone
(
)
Date
Started
Month
...
01
02
03
04
05
06
07
08
09
10
11
12
Day
...
01
02
03
04
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06
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13
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20
21
22
23
24
25
26
27
28
29
30
31
Year
...
Before 2000
2000
2001
2002
2003
2004
2005
Starting
Salary
$
per
...
Hour
Week
Month
Year
Starting
Position
Date
Left
Month
...
01
02
03
04
05
06
07
08
09
10
11
12
Day
...
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
...
Before 2000
2000
2001
2002
2003
2004
2005
Salary
upon Leaving
$
per
...
Hour
Week
Month
Year
Position
upon Leaving
Name
of Supervisor
Title
of Supervisor
Reason
for Leaving
Description
of Duties
Education
High
School
Diploma
...
Yes
No
Undergraduate
College
Course
of Study
Years
Completed
Degree
...
Certificate
Associates
Bachelors
Masters
Doctorates
Graduate
College
Course
of Study
Years
Completed
Degree
...
Certificate
Associates
Bachelors
Masters
Doctorates
Other
(Specify)
Describe
any specialized training, apprenticeship, skills and
extra-curricular activities
Additional
Information:
(State any additional information you feel may be helpful to us
in considering your application. Summarize special job-related
skills and qualifications from employment or other experience.
Note
to Applicants:
DO
NOT ANSWER THE FOLLOWING QUESTION UNLESS YOU HAVE REVIEWED THE
REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING, PLEASE SEE
JOB DESCRIPTION.
Are
you capable of performing in a reasonable manner, with or
without reasonable accommodations, the activities involved in
the job or occupation for which you have applied?
...
Yes
No
References:
Do not include family members or past supervisors.
Name
Telephone
( )
Occupation
Name
Telephone
(
)
Occupation
Name
Telephone
(
)
Occupation
Privacy
Notice
This privacy notice discloses the privacy practices for A New Taste Sensation. This privacy notice applies solely to information collected by this web site. It will notify you of the following:
1. What personally identifiable information is collected from you through the web site, how it is used and with whom it may be shared.
2. What choices are available to you regarding the use of your data.
3. The security procedures in place to protect the misuse of your information.
4. How you can correct any inaccuracies in the information.
Information Collection, Use, and Sharing
We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone.
We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request, e.g. to ship an order.
Unless you ask us not to, we may contact you via email in the future to tell you about specials, new products or services, or changes to this privacy policy.
Your Access to and Control Over Information
You may opt out of any future contacts from us at any time. You can do the following at any time by contacting us via the email address or phone number given on our website:
-See what data we have about you, if any.
-Change/correct any data we have about you.
-Have us delete any data we have about you.
-Express any concern you have about our use of your data.
If you feel that we are not abiding by this privacy policy, you should contact us immediately via telephone at (720) 205-0268 or via email.
Security
We take precautions to protect your information. When you submit sensitive information via the website, your information is protected both online and offline.
We also protect your information offline. Only employees who need the information to perform a specific job (for example, billing or customer service) are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information are kept in a secure environment.
Links
This web site contains links to other sites. Please be aware that we are not responsible for the content or privacy practices of such other sites. We encourage our users to be aware when they leave our site and to read the privacy statements of any other site that collects personally identifiable information.
Applicant’s
Statement
I
certify that answers given herein are true and complete to the
best of my knowledge and that I have not knowingly withheld any
fact or circumstance. I understand that falsifying or omitting
information on this form may cause me to be disqualified from
further consideration or dismissed from employment if hired.
This
application for employment shall be considered active for a
period of 45 days. Any applicant wishing to be considered for
employment beyond this time period should inquire as to whether
or not applications are being accepted at that time.
All
employment offers are made contingent upon satisfactory proof of
legal authorization to work in the United States according to
the law. I understand that failure to provide satisfactory proof
of identity and authorization to work in the United States will
disqualify me from employment.
This
application does not constitute an agreement or contract for
employment for any specified period or definite duration. I
understand that no representative of the employer is authorized
to make assurances to the contrary and that no implied, oral or
written agreements contrary to the foregoing express language
are valid unless they are in writing and signed by someone with
A New Taste Sensation.
I
understand that if hired, I may be required to undergo a
physical examination, have a photograph taken, and drug and
alcohol test if my job requires driving, or if I should become
involved in an accident while on duty, on company premises, on
job sites, or in a company vehicle, or if a reasonable suspicion
of drug or alcohol use exists based on my performance,
appearance, an/or behavior. The examination and the test will be
performed at the employer’s expense, by the employer’s
representative.
I
expressly authorize, without reservation, the employer, its
representatives, employees or agents to contact and obtain
information from all references (personal and professional),
employers, public agencies, licensing authorities, and
educational institutions and to otherwise verify the accuracy of
all information provided by me in this application, resume, or
job interview. I hereby waive any and all rights and claims I
may have regarding the employer, its agents, employee or
representatives, for seeking, gathering and using such
information in the employment process and all other persons,
corporations or organization for furnishing information about
me.
I
acknowledge that I have read this authorization and release,
fully understand it, and fully and voluntarily agree to its
provisions.
By
typing your name and dating in the boxes below you are
acknowledging the authorization and release and fully and
voluntarily agree to the provisions of this application.
Signature of Applicant
Month
...
01
02
03
04
05
06
07
08
09
10
11
12
Day
...
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
...
2010
2011
2012
2013
2014
2015