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Application For Employment

Have you ever worked for Pico De Gallo before? Yes No If YES, when/where

Are you legally able to be employed in USA (If hired, verification will be required by law)? Yes No

Are you 18 years or older (If hired, age verification will be required)? Yes No


What type of position are you seeking? Part Time: Full Time: Seasonal:

Are you able to meet the attendance requirement of the position? Yes: No:

Total hours available per week

Availability
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
From

Closed

To

closed


School Name, City, State

Years Attended

Degree/Courses


Please list below your two recent employers, beginning with the most recent.

Salary or Wage:


Professional References: (Please do not list friends and or family members)


Emergency Contact:


Please share your thoughts

Please read carefully the section below before signing

I acknowledge that I am applying for employment at Pico De Gallo Inc. I certify that I have read and understand the information on this form. I certify that my answers are true and complete to the best of my knowledge. If the application leads to employment, I understand that any omission, false or misleading information in my application or interview may result in my dismissal. I authorize the references listed on this form to share, any and all information with you, pertinent to my job application with Pico De Gallo. I understand that as a part of the procedure for my employment application an investigative consumer report maybe made concerning my character, general reputation and personal characteristics.