YUM YUM'S GOURMET POPCORN
9049 highway 51 north
southaven, mississippi 38671
S:662-470-6047 Fx:662-470-6050
open
monday to saturday 10 am - 9 pm
on sunday 12 noon to 6 pm

Employment Application

* Fieldes Are Required

EMPLOYMENT RECORD

IMPORTANT: LIST BELOW ALL PRESENT AND PAST EMPLOYMENT BEGINNING WITH MOST RECENT

MAY AN ENQUIRY BE MADE OF YOUR PRESENT EMPLOYER REGARDING YOUR CHARACTER, QUALIFICATIONS AND RECORD OF EMPLOYMENT? (A"NO" WILL NOT AFFECT YOUR CONSIDERATION FOR EMPLOYMENT.)

 No Yes

1. DATES OF EMPLOYMENT (MONTH,YEAR)

SALARY OF EARNINGS

2. DATES OF EMPLOYMENT (MONTH,YEAR)

SALARY OF EARNINGS

A EDUCATION RECORD

 Ged Diploma

LIST ALL ADDITIONAL EXPERIENCE, TRAINING, EDUCATION, SKILLS OR QUALIFICATIONS RELATED TO THE POSITION FOR WHICH YOU ARE APPLYING. (EXAMPLES:" WORKING AS A CASHIER OR SELLING CARS")

1. COLLEGES/UNIVERSITY

 Yes No

A} DRIVER'S LICENSE INFORMATION

B} HAVE YOU EVER BEEN CONVICTED OF A FELONY?

 No Yes

(A 'YES' ANSWER WILL NOT AUTOMATICALLY DISQUALIFY YOU FORM MOST JOBS)

C} REFERENCES

LIST THREE(3) PERSONS OTHER THAN RELATIVES WHO HAVE KNOWLEDGE OF YOUR CHARACTER OR ABILITY.

NOTIFY IN CASE OF EMERGENCY

PRIMARY CONTACT:

SECONDARY CONTACT:

VERY IMPORTANT NOTICE

I HEREBY GIVE PERMISSION TO THE YUM YUM'S GOURMET POPCORN CO. OR IT'S DULY AUTHORIZED REPRESENTATIVE TO CONTACT ANY PERSONS OR COMPANIES NAMED IN THIS STATEMENT OTHER THAN MY PRESENT EMPLOYER AND VERIFY ANY AND ALL EDUCATIONAL, HISTORY THAT I HAVE GIVEN ON THIS STATEMENT.

I HEREBY AUTHORIZE MY FORMER EMPLOYERS TO FURNISH THEIR RECORDS OF MY SERVICE, MY REASONS FOR LEAVING THEIR COMPANY TOGETHER WITH ALL INFORMATION THEY MAY HAVE CONCERNING ME. I ALSO RELEASE ANY INDIVIDUAL PARTNERSHIP OR CORPORATION WHICH FORMERLY EMPLOYED ME, IT'S OFFICERS, AGENTS AND EMPLOYEES FROM ANY LIABILITY AND ANY DAMAGE THAT MAY OCCUR FOR ISSUING SUCH INFORMATION.

I DO HERE BY AFFIRM THAT I HAVE ANSWERED ALL QUESTIONS AND NOT OMITTED ANY INFORMATION TO THE BEST OF MY ABILITY AND BELIEF. I UNDERSTAND THAT IF ANY OF THE STATEMENTS MADE BY ME ON THIS STATEMENT ARE FALSE OR IF A CHECK WITH MY FORMER EMPLOYER REVEALS THAT I WOULD MAKE AN UNSATISFACTORY EMPLOYEE I MAY BE SUBJECTED TO IMMEDIATE DISQUALIFICATION OR TERMINATION.

I DO HEREBY AFFIRM THAT IN ACCORDANCE WITH FEDERAL LAW. I WILL PROVIDE PROOF OF IDENTITY AND EMPLOYMENT ELIGIBILITY IF I AM HIRED. I ALSO WILL BE WILLING TO TAKE A DRUG OR ALCOHOL TEST IF ASKED BEFORE I'M HIRED AND OR DURING MY EMPLOYMENT AT ANY TIME.

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