Job Application: Equipment Cleaner/Kitchen Staff Title: Equipment Cleaner/Kitchen StaffFields marked with an asterisk (*) must be filled out before submitting.Personal DetailsFirst & Last Name *Social Security # *Date * Street Address *City *State *Zip Code *Email *Phone # *All other cities/states you have lived in the last 7 years Do you have an answering machine or voicemail? * Yes NoAre you less than 18 years of age? * Yes NoIf less than 18 years old, please check one 14-15 years 16-17 yearsAre you eligible for employment in the US? * Yes NoCurrent Driver License or State ID #State IssuedHave you ever been convicted of a crime? * Yes NoIf yes, please explain How were you referred to Caesar Creek Flea Market? Facebook Indeed On-Site Employee OtherAre you involved in any extra-curricular activities, now or later on, that would restrict or prevent you from working on the weekends? Yes NoIf yes, please explain Position DetailsDesired PayFull-Time or Part-Time? Full-time Part-timeNumber of hours per weekHave you ever worked for us before? Yes NoHave you ever applied to work for us before? Yes NoEducation – High SchoolHigh School AttendedAddressYears CompletedDid you graduate? Yes NoGPAMajorEducation – CollegeCollege AttendedAddressYears CompletedDid you graduate? Yes NoGPAMajorEducation – CollegeCollege AttendedYears CompletedDid you graduate? Yes NoGPAMajorSkillsList skills relevant to the position you are applying for Typing WPMComputer ProficiencyList any certificates, training programs, professional affiliations, and activities not included above Previous Employment – 1EmployerCity & StatePhone #Supervisor Name & TitleYour TitleReason for leavingRate of payDates of employmentMay we contact this employer? Yes NoPrevious Employment – 2EmployerCity & StatePhone #Supervisor Name & TitleYour TitleReason for LeavingRate of PayDates of EmploymentMay we contact this employer? Yes NoPrevious Employment – 3EmployerCity & StatePhone #Supervisor Name & TitleYour Title Reason for LeavingRate of PayDates of EmploymentMay we contact this employer? Yes NoProfessional References – 1NameTitleCompanyPhone #Professional RelationshipProfessional References – 2NameTitleCompanyPhone #Professional RelationshipProfessional References – 3NameTitleCompanyPhone #Professional RelationshipFinalI hereby authorize Caesar Creek Flea Market (CCM) to thoroughly investigate my background, references, employment record, criminal convictions, driving record, consumer credit, and any other matters related to my suitability for employment. I authorize persons, schools, my current and previous employer(s) and organizations contacted by CCM to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of CCM. I understand that nothing contained in this application or conveyed during any interview which may be granted, is intended to create and employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate CCM to hire me, I understand and agree that, if hired, my employment is at will, which means that it is for no specific period and may be terminated by CCM at any time for any reason. * I agreeDate I certify that all the above information is correct. Typing your name will acts as your electronic signature.