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Search for:
APPLICATION FOR EMPLOYMENT
Daniel Torres
2023-04-10T15:30:54-04:00
EMPLOYMENT APPLICATION – TREASURE COAST FOOD BANK
EMPLOYMENT APPLICATION
Application will remain active for 30 days.
Step
1
of
11
9%
Name
*
First
Middle
Last
Email
*
Present Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long have you lived at that address?
*
Do you have a previous address?
*
Yes
No
Previous Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long?
*
Phone
*
Have you obtained employment by TCFB before?
*
Yes
No
If yes, when?
*
Are you bilingual?
Yes
No
What languages are you fluent with?
Select All
Spanish
Haitian Creole
Portuguese
Other
Please select
Are you 18 years or older?
*
Yes
No
Are you a U.S. citizen or legally authorized to work in the U.S.?
*
Yes
No
Position(s) applied for (Be specific)
*
Have you used any other names?
*
Yes
No
If Yes, (Please list):
*
How many hours can you work weekly?
*
Please enter a number from
1
to
100
.
Can you work nights?
*
Yes
No
Employment desired
FULL-TIME ONLY
PART-TIME ONLY
FULL- OR PART-TIME
Salary desired ($):
*
per
*
Hour
Month
Year
Education
Education Completed
*
High School
College
Bus. or Trade School
Professional School
None
NAME OF SCHOOL (High School)
*
LOCATION
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
(Complete mailing address)
NUMBER OF YEARS COMPLETED
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
18
19
20
MAJOR & DEGREE
*
NAME OF SCHOOL (College)
*
LOCATION
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
(Complete mailing address)
NUMBER OF YEARS COMPLETED
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
18
19
20
MAJOR & DEGREE
*
NAME OF SCHOOL (Bus. or Trade School)
*
LOCATION
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
(Complete mailing address)
NUMBER OF YEARS COMPLETED
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
18
19
20
MAJOR & DEGREE
*
NAME OF SCHOOL (Professional School)
*
LOCATION
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
(Complete mailing address)
NUMBER OF YEARS COMPLETED
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
18
19
20
MAJOR & DEGREE
*
Are you applying for a driving position?
*
Yes
No
DO YOU HAVE A VALID DRIVER’S LICENSE?
Yes
No
If Yes
*
Operator
Commercial (CDL)
Chauffeur
Have you had any moving violations during the past three years?
*
Yes
No
If yes, how many?
*
Have you had any accidents during the past three years?
*
Yes
No
If yes, how many?
*
Do you have any impairments that prevent you from driving a vehicle?
*
Yes
No
Type
*
Has your license ever been suspended or revoked?
*
Yes
No
Reason
*
Have you ever been declined auto insurance coverage or cancelled?
*
Yes
No
Reason
*
Have you been convicted of, plead guilty, had adjudication withheld, pled nolo contendere or nolle prosequi to a crime?
*
Yes
No
If yes, please explain. (State, date, court, type of crime, place of occurrence, disposition)
*
Are you currently awaiting trial, sentencing or other disposition of a criminal charge?
*
Yes
No
Note: Conviction of a crime will not necessarily disqualify you for employment. Each conviction will be judged on its merit and with respect to time and job relatedness.
SKILLS
Typing
*
Yes
No
Words Per Minute
*
Please enter a number from
1
to
500
.
10 Key
*
Yes
No
Word Processing
*
Yes
No
Words Per Minute
*
Please enter a number from
1
to
500
.
Do you have any computer experience?
*
Yes
No
Operating System
*
Windows (PC)
Mac (Apple)
Please choose what OS you have more experience with.
Do you have a basic understanding on the use of Microsoft Office 365.
*
Yes
No
Microsoft Office 365 includes apps like, Outlook, Word, Excel, Power Point.
Other Skills
References
Please list two references other than relatives or previous employers
Reference #1
Name
*
First
Last
Position
*
Company
*
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Reference #2
Name
*
First
Last
Position
*
Company
*
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
An application sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
MILITARY
HAVE YOU EVER BEEN IN THE ARMED FORCES?
*
Yes
No
If yes, highest rank:
*
ARE YOU NOW A MEMBER OF THE ACTIVE RESERVES?
*
Yes
No
If yes, what is your obligation?
*
Specialty
*
Date Entered
*
MM slash DD slash YYYY
Discharge Date
*
MM slash DD slash YYYY
Type of discharge:
*
If other than honorable, please explain:
Work Experience
Please list at least the last 10 years of your work experience, beginning with your most recent job held. If you were self-employed, give firm name.
Name of employer
*
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
May we contact this employer?
*
Yes
No
Name of last supervisor
*
Employment Start Date
*
MM slash DD slash YYYY
Employment End Date
*
MM slash DD slash YYYY
Starting Pay
*
Final Pay
*
Your last job title
Reason for leaving (be specific)
*
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
*
Would you like to list another employer?
*
Yes
No
Name of employer
*
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
May we contact this employer?
*
Yes
No
Name of last supervisor
*
Employment Start Date
*
MM slash DD slash YYYY
Employment End Date
*
MM slash DD slash YYYY
Starting Pay
*
Final Pay
*
Your last job title
*
Reason for leaving (be specific)
*
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
*
Would you like to list another employer?
*
Yes
No
Name of employer
*
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho