East Peoria

1. Tell Us About Yourself
Name*
First Last
Name Used*
Present Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Telephone*
Cell/Other Telephone (if applicable)
Email Address*
Do you have a reliable means of transportation to work?*
- Yes
- No
What wage rate are you expecting?*
Are you younger than 16 years old?*
- Yes
- No
Do you have a work permit?
- Yes
- No
If hired, can you provide verification of your legal right to work in the U.S.?*
(PROOF OF ELIGIBILITY IS REQUIRED UPON EMPLOYMENT)
- Yes
- No

3. Previous Employment History
Have you ever worked for a Michael's Italian Feast?*
- Yes
- No
Which location did you work for?
Please list your three most recent jobs (including babysitting, lawn care or volunteer work):
Name of Employer
Email Address of Employer
Employed From
MM
DD
YYYY
To
MM
DD
YYYY
Phone Number
Supervisor
Reason for Leaving
Name of Employer
Email Address of Employer
Employed From
MM
DD
YYYY
To
MM
DD
YYYY
Phone Number
Supervisor
Reason for Leaving
Name of Employer
Email Address of Employer
Employed From
MM
DD
YYYY
To
MM
DD
YYYY
Phone Number
Supervisor
Reason for Leaving

4. Education
High School (last attended)
Location
Did you graduate?
- Yes
- No
College & Vocational Schools
Name
Location
Did you graduate?
- Yes
- No
If yes, Degree & Major
Grade Pt. Avg.
Name
Location
Did you graduate?
- Yes
- No
IF yes, Degree & Major
Grade Pt. Avg.

5. Personal Background
Please list job-related awards and/or leadership positions held (work or school)
Relevant Skills

6. References
Reference #1 Name
First Last
Address
Phone
Relationship
Years Known
Reference #2 Name
First Last
Address
Phone
Relationship
Years Known
Reference #3 Name
First Last
Address
Phone
Relationship
Years Known

Please Read the Following Statements Carefully and Sign
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”

Michael’s Italian Feast is an equal employment opportunity employer and considers all applicants without regard to race, color, religion, national origin, ancestry, citizenship, sex, pregnancy, age, physical or mental disability, genetic information, service in the uniformed services, and/or an other protected status, classification or factor, in accordance with the requirements of all federal, state and local laws.
Date
MM
DD
YYYY
*
- I accept the items listed above.

Step 1 of 7

1. Tell Us About Yourself

2. Availability

3. Previous Employment History

4. Education

5. Personal Background

6. References

Please Read the Following Statements Carefully and Sign