CUSTOM FOOD PRODUCTS, INC.
Application for Employment		 DATE:    
*"Please check the appropriate location(s) to which you are applying for employment with Custom Food Products Inc"
CARSON OWINGSVILLE
20704 Fordyce Ave.
Carson ,CA 90810
(323) 727-0900 FAX~(310) 668-9021 		59 Custom Foods Drive
Owingsville, KY 40360
(606) 674-6772 FAX~(606) 674-6076
Custom Food Products, Inc. is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, national origin, sex, sexual orientation, age, or disability. It is our intention that all qualified applicants be given equal opportunity and that ok decisions be based on job-related factors.
Directions: Each question should be fully and accurately answered. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information. Remember, no action can be taken on this application until all questions have been answered.
Position applying for:     Type of employment:     Date you can begin:    
Select how you heard about this position?
First Name:     Middle Name:     Last Name:     Telephone #:    
Street Address:     City:     State:     Zip Code:     Social Security #:    
Email Address:     *required for confirmation and response.

  Yes No Please check your answer
1. Are you 18 years of age or older? (Note: If you are hired, you may be required to submit proof of age.)
2. If hired, can you furnish proof you are eligible to work in the USA?
3. Have you ever applied here before? If Yes, when?

4. Have you ever been employed by Custom Food Products or one of its divisions? If yes, when?
5. Are you now or do you expect to be engaged in any other business or employment? If yes, please explain:

6. Have you ever been convicted of a felony? If yes, give details:

(Note: A "yes" answer does not automatically disqualify you from employment, since the nature of the offense, date and the job for which you're applying will also be considered.)
  Yes No The following questions are only for a position requiring a driver's license:
7. Do you have a valid driver's license?
8. Has your driver's license ever been suspended or revoked? If yes, give details:
9. Do you have current and valid automobile insurance?
(Note: If hired, you will be asked to furnish copies of your driver's license and automobile insurance.)
PLEASE LIST ALL EDUCATION AND TRAINING THAT YOU BELIEVE QUALIFIES YOU FOR THE POSITION YOU ARE SEEKING:
School / Training Graduated Yes/No Degree / License Certificate # Subjects Studied
What skills or additional training do you have that are related to the job for which you are applying?
Administration Customer Service Production Supervisor
Assembly Line Worker Electrician Quality Tech
Clerical Support Finance Research And Development
Computer Knowledge Foreign Language Sales
~MS Word / Excel Maintenance Sanitation
~Other SpreadSheet Production Manager Warehouse
EMPLOYMENT HISTORY: Please list the names of employers in chronological order with last employer listed first. Account for all periods of time including military service, and any periods of unemployment. If self-employed, give firm name and supply business references. Use blank paper if you do not have enough room on this application.
Name Of Employer
Street Address
City, State, Zip code
Supervisor's Name
Job Title Description
Date of Employment
 From: Month/Year
 To: Month/Year
Starting Salary
 Ending Salary
  
Per:
Name Of Employer
Street Address
City, State, Zip code
Supervisor's Name
Job Title Description
Date of Employment
 From: Month/Year
 To: Month/Year
Starting Salary
 Ending Salary
  
Per:
Name Of Employer
Street Address
City, State, Zip code
Supervisor's Name
Job Title Description
Date of Employment
 From: Month/Year
 To: Month/Year
Starting Salary
 Ending Salary
  
Per:
  Yes No Please check your answer
10. Have you worked or attended school under any other name? If yes, give name(s):
11. Are you presently employed
12. If yes, May we contact your present employer?
13. May we contact your past employer(s)?
14. Have your ever been fired from a job or asked to resign? If yes, please explain:
15. Do you have any relatives or friends who work here? If yes, please list their name(s):
PLEASE LIST THREE PROFESSIONAL REFERENCES:
1. Name and Address:
 2. Name and Address:
 3. Name and Address:
Occupation:
 Occupation:
 Occupation:
Telephone #:
 Telephone #:
 Telephone #:
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING:
1. I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in any dismissal if discovered at a later date.
2. I understand that Custom Food Products, Inc. may request an investigative consumer report from a consumer-reporting agency. This report may include information as to my character, reputation, personal characteristics, and mode of living obtained from interviews with neighbors, friends, former employers, schools and others. I understand I have a right to make a written request within a reasonable time for the disclosure of the name and address of the consumer-reporting agency so that I obtain a complete disclosure of the nature and scope of the investigation.
3. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations named in this application to provide relevant information (including salary history) and opinions that may be useful in making a hiring decision. I release such person and organizations from any legal liability in making such statements.
4. I understand that if extended an offer of employment it will be conditioned upon my successfully passing a Functional Capacity Test (if applicable), a criminal background check and a complete physical examination including drug screening. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I hereby consent to the requirements as listed.
5. I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will of the employer and my employment may be terminated at any time with or without cause, and with or without notice.
6. I understand that this application will remain active for a limited time.
7. I have read, understand, and by signature consent to these statements.
Signature:
Date:
       

Custom Food Products Unless otherwise notified all information
copyright 2008, Custom Food Products