PERSONAL INFORMATION

Name

Address

City

State

OK   Zip / Postal Code 

Country

Pri.Phone Number.

Alt.Phone Number

E-Mail Address

EDUCATION

High School Name

City and State

Did You Graduate?

Yes No

Awards or Honors

College Name

City and State

Did you Graduate?

Yes No

Major or Specialty

Trade School

City and State

Did you Graduate?

Yes No

Area(s) of Study

REFERENCES

Employer

Dates

  From:  To: 

City & State

Phone Number

Supervisor

Last Position

Pay Rate

Employer

Dates

  From:  To: 

City & State

Phone Number

Supervisor

Last Position

Pay Rate

Employer

Dates

  From:  To: 

Cty & State

Phone Number

Supervisor

Last Position

Pay Rate

Employer

Dates

  From:  To: 

City & State

Phone Number

Supervisor

Last Position

Pay Rate

DESIRED EMPLOYMENT AT VAUGHAN FOODS

Desired Position

I Can Work

  Weekdays Weekends Full Time Part Time

OTHER INFORMATION

At Least 18 Years

Yes No   Have you been convicted of a crime?* No Yes

If yes, please describe below

* Clicking yes will not necessarily disqualify you from employment.
 

Languages

  Please list any languages besides English you are fluent in:

Driver’s License

I certify that I have a valid license** Yes No

** Clicking No will not necessary disqualify you from employment.

EMERGENCY CONTACT INFORMATION

Name

Pri. Phone Number

Alt. Phone Number

Relationship

How did you hear about Vaughan Foods, Inc.?

Do you have any relatives working here?  If so, what is their name or department?

AUTHORIZATION

You are authorized to check my references  Yes No

I certify that, by clicking the SUBMIT button that this information is

accurate and complete. I also understand that giving incomplete or

false information for employment is grounds for dismissal and for-

feiture of related benefits.