BENZEL'S JOB OPENINGS EMPLOYMENT APPLICATION employment application Jobs Personal Information First Name Last Name Address* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Home Telephone* Business Telephone May we contact you at work?Select valueYesNo Position Applying For:* Date Available:* Are you interested in?*Full-timePart-timeTemporarySummer Shifts you are you interested in?*First ShiftSecond ShiftThird Shift Are you available to work overtime?*Select valueYesNo Are you on lay-off and subject to recall?*Select valueYesNo Are you 18 years of age, can you provide a work permit?*Select valueYesNo Are you willing to travel if a job requires it?*Select valueYesNo How were you referred to Benzel's?*Education High School Name* High School Location Street Address High School City* City* High School State* State / Province / Region* High School Postal / Zip Code Postal / Zip Code Degree/Area of Study (High School)* Number of Years Attended (High School) Graduated (High School)*Select valueYesNo College Name College Location Street Address City State / Province / Region Postal / Zip Code Degree/Area of Study (College) Number of Years Attended (College) Graduated (College)Select valueYesNo Graduate School Name Graduate School Location Street Address City State / Province / Region Postal / Zip Code Degree/Area of Study (Graduate School) Number of Years Attended (Graduate School) Graduated (Graduate School)Select valueYesNo School Name (Other) School Location (Other) Street Address City State / Province / Region Postal / Zip Code Degree/Area of Study (Other) Number of Years Attended (Other) Graduated (Other)Select valueYesNoU.S. Military Service Branch of Service Technical Specialization Rank Attained Date Entered Date DischargedSpecial Skills Typing Speed (Words Per Minute) Shorthand or Speed Writing (Words Per Minute) PC Software: Describe any specialized training or skills you have (eg. CDL, Forklift, etc.):Legal Are you a U.S. citizen?*Select valueYesNo If no, do you have a legal right & necessary documents to work in the U.S.?Select valueYesNo(Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform Act of 1986.) Were you ever discharged by any company?*Select valueYesNo If yes, give name of company(ies) Reason for discharge: Have you ever been convicted of a crime other than a minor traffic violation?*Select valueYesNo If yes, please explain offense and final disposition (such conviction may be relevant if job related, but does not bar you from employment):Employment History Do you have any previous employment history?*Select valueYesNoList employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities. May we contact your present employer?*Select valueYesNo May we contact your past employer?*Select valueYesNo Company Name (Employer 1)* Address (Employer 1)* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Phone Number (Employer 1)* Worked From: (Employer 1)* Worked To: (Employer 1)* Position Held (Employer 1)* Supervisor Name (Employer 1)* List of Major Duties (Employer 1)* Starting Wage Per Hour (Employer 1)* Final Wage Per Hour (Employer 1)* Reason For Leaving (Employer 1)* Company Name (Employer 2) Address (Employer 2) Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Phone Number (Employer 2) Worked From: (Employer 2) Worked To: (Employer 2) Position Held (Employer 2) Supervisor Name (Employer 2) List of Major Duties (Employer 2) Starting Wage Per Hour (Employer 2) Final Wage Per Hour (Employer 2) Reason For Leaving (Employer 2) Company Name (Employer 3) Address (Employer 3) Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Phone Number (Employer 3) Worked From: (Employer 3) Worked To: (Employer 3) Position Held (Employer 3) Supervisor Name (Employer 3) List of Major Duties (Employer 3) Starting Wage Per Hour (Employer 3) Final Wage Per Hour (Employer 3) Reason For Leaving (Employer 3) Company Name (Employer 4) Address (Employer 4) Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Phone Number (Employer 4) Worked From: (Employer 4) Worked To: (Employer 4) Position Held (Employer 4) Supervisor Name (Employer 4) List of Major Duties (Employer 4) Starting Wage Per Hour (Employer 4) Final Wage Per Hour (Employer 4) Reason For Leaving (Employer 4) Have you previously worked at Benzel's Pretzel Bakery, Inc.?*Select valueYesNo If yes, What was your position? Date Employed: Supervisor's Name: Reason for Leaving: Comments:ReferencesBusiness references: (do not list relatives) Name (Reference 1)FirstLast Address (Reference 1) Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Work Phone (Reference 1) Title (Reference 1) Years known (Reference 1) Name (Reference 2)FirstLast Address (Reference 2) Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Work Phone (Reference 2) Title (Reference 2) Years known (Reference 2) Name (Reference 3)FirstLast Address (Reference 3) Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Work Phone (Reference 3) Title (Reference 3) Years known (Reference 3) Name (Reference 4)FirstLast Address (Reference 4) Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Work Phone (Reference 4) Title (Reference 4) Years known (Reference 4)Please read carefullyIn submitting this application for employment, I understand that an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record and/or criminal history. I authorize anyone possessing this information to furnish it to Benzel's and/or 3rd party company upon request and I release anyone so authorized, Benzel's, and any other 3rd party company from all liability and damages whatsoever in furnishing, obtaining or using said information.In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand also, that I am required to abide by all rules and regulations of Benzel's.I understand and agree that if employed, the employment will be "at will". That is, either I or Benzel's may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by Benzel's does not imply employment and that this application and/or any other Benzel's documents and/or conduct are not contracts of employment. Signature*Clear Date Signed*SubmitReset
