Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Can you work evenings? *

Yes

No

What days are you available? *

MON

TUE

WED

THU

FRI

SAT

SUN

Employment Desired: *

Full-Time

Part-Time

Full -or- Part Time

Date of Graduation

If you have not graduated yet, please provide expected graduation date.

MM

DD

YYYY

Have you attended a trade school, college or university? *

If yes, provide the most recent school you have attended.

Yes

No

Have you attended any other schools? *

Yes

No

Have you ever been convicted of a crime? *

Yes

No

Do you have a driver license/state issued ID? *

Yes

No

Have you had any accidents in the past three years? *

Yes

No

Have you had any moving violations in the past three years? *

Yes

No

Please list two references other than relatives or previous employers. *

Reference 1

First Name

Last Name

Phone *

(###)

###

####

*

Reference 2

First Name

Last Name

Phone *

(###)

###

####

Have you ever been in the armed forces? *

Yes

No

Are you now a member of the national guard? *

Yes

No

Do you have previous work experience? *

Yes

No

Select to Add Employer 2, if no previous work experiences, select N/A. *

Employer 2

N/A

Select to Add Employer 3, if no previous work experiences, select N/A. *

Employer 3

N/A

May we contact your current employer? *

Yes

No

Did you complete this application yourself? *

Yes

No

Application Form Waiver *

In exchange for the consideration of my job application by HOPE FOR THE FUTURE. (hereinafter called “the Company”), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of HOPE FOR THE FUTURE, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and HOPE FOR THE FUTURE may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

First Name

Last Name

Date *

MM

DD

YYYY