Sequoia Sandwich Company

WHICH SEQUOIA STORE(S) WOULD YOU LIKE TO APPLY AT?

Downtown Rosedale Southwest Clovis

Personal Information

Employment Questionnaire

Full Time Part Time

ARE YOU AT LEAST 18 YEARS OF AGE OR OLDER?

If not, Do you have a work permit

YES NO

YES NO

ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES?

(Proof of identity and U.S. citizenship or immigration status will be required, if hired)

YES NO

ARE YOU CURRENTLY EMPLOYED?

IF SO, MAY WE CONTACT YOUR CURRENT EMPLOYER?

YES NO

YES NO

HAVE YOU EVER BEEN TERMINATED OR ASKED TO RESIGN FROM ANOTHER JOB?

YES NO

HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE?

If so

YES NO

HAVE YOU EVER WORKED FOR THIS COMPANY BEFORE?

If so

YES NO

DO YOU HAVE ANY FRIENDS OR RELATIVES WORKING AT SEQUOIA SANDWICH CO.?

if so,

YES NO

ARE YOU WILLING TO SUBMIT TO A BACKGROUND CHECK AND DRUG TEST AS A CONDITION
OF EMPLOYMENT?

YES NO

THIS JOB MAY REQUIRE STANDING FOR LONG PERIODS OF TIME, LIFTING UP TO 50 LBS, REPETITIVE HAND/ARM MOTIONS, AND THE SERVING AND HANDLING OF FOOD AND EQUIPMENT IN A SANITARY AND HEALTHY MANNER. IS THERE ANY REASON WHY YOU CANNOT PERFORM THESE ESSENTIAL JOB FUNCTIONS?

YES NO

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR SUBJECTED TO A DEFERRED ADJUDICATION ON A FELONY CHARGE?

YES NO

Work Availability

I HAVE FULL AVAILABILTY - I CAN WORK ANY DAY, ANY TIME
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays

Education History

High School

College

Trade, Business or correspondence school

SUBJECTS OF SPECIAL STUDY/RESEARCH WORK OR SPECIAL TRAINING/SKILLS

Employment History (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH MOST RECENT FIRST)

From
to
From
to
From
to
From
to

References

FIRST REFERENCE

SECOND REFERNCE

THIRD REFENCE

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR
UNDERSTANDING AND ACCEPTANCE BY SIGNING IN THE SPACE BELOW

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, any false statement, misrepresentation, or omission of facts on this application or on any supporting documents, regardless of when discovered to be false or omitted, may result in my immediate termination.

I authorize investigation of all statements contained herein and the references, schools and employers listed above to give you any information concerning my previous employment and pertinent information they may have, personal or otherwise, and release them and from any damage that may result from utilization of such information.

I also understand and agree that no representative of The Sequoia Sandwich Company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized The Sequoia Sandwich Company representative. I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Sequoia Sandwich at any time without prior notice for any reason. I also understand that Sequoia retains the right to demote, transfer, change job duties, and change compensation at any time. I understand that if hired, this statement is part of the employment agreement between Sequoia and me, and will be binding upon me.

The Sequoia Sandwich Company is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, national origin, the presence of mental, physical, or sensory disability, sexual orientation, or any other basis prohibited by federal, state or provincial law.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the American with Disabilities Act (ADA) and other relevant federal and state laws.

The Sequoia Sandwich Company maintains a strict policy against the use of unlawful drugs and alcohol. All job applicants who receive offers ofemployment with the company must submit to and pass a drug screening test. All offers of employment are conditioned upon the successful completion of the testing procedure.

Applicant's Signature