Application

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Date

Personal Information

Full Name*

Date Of Birth

Age

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Phone Number*

Email*

Position Sought*

Wage Desired*

When can you start?*

Your LAST DAY?*

Position

Summer Address*

Permanent Address City State ZIP Code

Permanent Address*

Permanent Address City State ZIP Code

Are you a veteran?*

Yes

No

If selected for employment are you willing to get a background check?*

Yes

No

Are you eligible to work in the US?*

Yes

No

References

REFERENCES - Please list a minimum of 2 references

1) Reference Name*

Address*

Business*

Phone*

Years Known*

May We Contact*

2) Reference Name*

Address*

Business*

Phone*

Years Known*

May We Contact*

Have you applied other places?

Wage or Salary desired

Generic Information

What are your strengths?*

What are your weaknesses?*

How can you be an asset to Bella Vida?*

What is the most important thing in life to you?*

Do you have another Job? If so, please specify what your responsibilities are and when you are not available to work at Bella Vida.*

Please let us know any other information about yourself. Activities, sports, clubs, etc.

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Aknowledgement*

I hereby acknowledge and understand that if I am hired it would be on a probationary basis and that my employment will not exceed ninety (90) days unless extended by the Company or unless the Company shall offer me employment on a regular basis, full or part time, prior to the expiration of the probationary employment.I also agree to give a two weeks notice if a decision is made to be employed elsewhere.I agree to report to work on time. I understand that Bella Vida has a no tolerance drug & alcohol policy, that insubordination, not showing up for work or coming to work late or not in proper uniform are reasons for immediate dismissal.

Date

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