Pastian's Bakery
 
 
 
 
3320 2nd St NW, Albuquerque NM 87107, USA
Handicap Accessible
 
 
 
 
 
 

Employment Opprtunity

Personal Information


Name*
 
 
 
 
 
 
Present Address*
 
 
 
 
 
 
 
Referred By
 

Employment Desired


 
Position
 
Salary Desired
 
 
Date You Can Start
 
 
 
Are you Currently Employed?
 
 
 
 
If so, May We Inquire Of Your Present Employer
 
 
 
 

Education History


 
High School
 
Subject Studied
 
 
Years Attended
 
Did You Graduate?
 
 
 
 

 
College
 
Subject Studied
 
 
Years Attended
 
Did You Graduate?
 
 
 
 

 
Trade, Business or Corresponcence School
 
Subject Studied
 
 
Years Attended
 
Did You Graduate?
 
 
 
 

Former Employers


(List Below Last Four Employers, Starting With Last One First)
 
 
Start Date
 
End Date
 
 
Name
 
Address
 
 
Salary
 
Position
 
Reason For Leaving

 
 
Start Date
 
End Date
 
 
Name
 
Address
 
 
Salary
 
Position
 
Reason For Leaving

 
 
Start Date
 
End Date
 
 
Name
 
Address
 
 
Salary
 
Position
 
Reason For Leaving

 
 
Start Date
 
End Date
 
 
Name
 
Address
 
 
Salary
 
Position
 
Reason For Leaving

General Information


Subjects of Special Study/Research
Work or Special Training/Skills
 
U.S. Military or Naval Service
 
 
 
 
Rank
 

References


Give Below the Names of Three Persons Not Related To You, Whom you Have Known At Least One Year
Name
 
 
 
 
Contact Information
 
Business
 
Years Known
 

Name
 
 
 
 
Contact Information
 
Business
 
Years Known
 

Name
 
 
 
 
Contact Information
 
Business
 
Years Known
 

Authorization


"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."
 
Date*