Double B Foods

Application For Employment

The Civil Rights Act of 1964 prohibits discrimination because of race, color, religion, sex or national origin. Federal Law also prohibits discrimination based on age, citizenship and disability.  Double B Foods, Inc. is an Equal Opportunity Employer and does not discriminate in any phase of employment.

* : required

Personal Information

First Name:*Middle:*Last Name:*
Email:*Confirm Email:*
Home Phone:*Cell Phone:
Street Address:*
City:*State:*Zip:*
Have you ever worked for Double B Foods, Inc. before?*
Please state when and provide the reason for your prior separation:*
Are you available for full-time work?*
What hours can you work?*
Will you work overtime if asked?*
When will you be available to begin work?*
Are you legally eligible to work in the United States?*
Are you over the age of 18?*
Have you ever worked under a different name?*
What name(s) did you use?*
Have you ever been discharged from a position for making threats, fighting, or any incident involving violence?*
Have you ever been convicted of a felony?*
Please provide the date, location and disposition of the case.
A conviction record will not necessarily be a ban to employment with Double B Foods, Inc.:*
Desired Salary:

Education

College

Name and Location of school:
Number of years completed:
Did you graduate?
Degree or Diploma:

Business/Trade/Other

Name and Location of school:
Number of years completed:
Did you graduate?
Degree or Diploma:

High School

Name and Location of school:
Number of years completed:
Did you graduate?
Degree or Diploma:

Additional Skills or Memberships

Describe any other training, skills or work experience you have (language, machine operation, etc):
Please list your membership in any professional or civic organization which you believe would be relevant to the job for which you are applying:
Did you serve in the U.S. Armed Forces?*
Which service branch?*

Previous Employment

Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.

Previous Employer 1

Company Name:
Phone:
Address:
City:
State:
Name of supervisor:
State job title and describe work:
Employed From (MM/YY):To:
Weekly Pay Start:Leave:
Reason for leaving:

Previous Employer 2

Company Name:
Phone:
Address:
City:
State:
Name of supervisor:
State job title and describe work:
Employed From (MM/YY):To:
Weekly Pay Start:Leave:
Reason for leaving:

Previous Employer 3

Company Name:
Phone:
Address:
City:
State:
Name of supervisor:
State job title and describe work:
Employed From (MM/YY):To:
Weekly Pay Start:Leave:
Reason for leaving:

I understand that this is NOT an offer of employment or contract. If a job offer is made to me, I understand and agree that any employment with the Company is on an at will basis only, unless otherwise agreed to in writing by the president of the Company. I agree to submit to a drug screen test and I understand that any refusal to do a drug screen test will constitute a voluntary withdrawal of my application for employment. I agree by entering my name below that the information I have provided is true and complete. I understand that if I am employed, the discovery of any false information or omission of fact on this application may result in the termination of my employment.

I authorize the Company to contact the companies, schools and persons named on this application and I authorize such companies, schools and persons to give information regarding my employment, education and qualifications. I hereby release the Company and said companies, schools and persons from liability for any damages caused by this information process.

eSignature (enter your full name):*Date (MM/DD/YY):*