Name
*
First Name
Last Name
Pronoun
*
He/him
She/her
They/them
Current Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Is Your Citizenship or Immigration Status Such that You can lawfully work in the U.S?
*
Primary Phone Number
*
(###)
###
####
Secondary Phone Number
(###)
###
####
Email
*
Are you 18 years or older?
*
If you are under 16 years of age, can you provide a work permit?
Are you employed now?
*
If so, may we inquire of your present employer?
Have you ever applied to Ma's Donuts before?
*
If yes, please explain:
Have you ever pleaded guilty, no contest, or been found guilty of a crime?
*
If yes, give dates and details:
Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness, and nature of the violation, rehabilitation, and applied for will be considered.
Availability Level
*
Name and Location of Employer
*
Start Date
*
MM
DD
YYYY
End Date
*
MM
DD
YYYY
Position
*
Reason for leaving
*
Name and Location of Employer
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Position
Reason for leaving
Name and Location of Employer
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Position
Reason for leaving
Name and location of school
Number of years attended
Did you graduate
Subjects studied
Name and location of school
Number of years attended
Did you graduate
Subjects studied
Name and location of school
Number of years attended
Did you graduate
Subjects studied
Do you have any physical limitations that preclude you from performing any for which you are being considered?
*
If yes, what can be done to accommodate your limitation?
Summarize Your Special Skills or Qualifications
*
Legal Stuff
*
Electronic Signature
*
By signing your name electronically you are agreeing that your electronic signature is the legal equivalent of your manual signature on this application.
