Food Service Technician Food Service Technician Technician Application Step 1 of 10 10% GeneralName* First Name Last Name Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code* Phone*include area codeEmail* TransportationDo you have a valid Louisiana Driver's License and a vehicle that you can have available with you at the work site for the entire day every work day?Drivers License* Yes No Vehicle* Yes No Prior work with School Food & Nutrition ServicesHave you applied with us before?* Yes No Have you worked with us before?* Yes No Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY At which schools did you work? Reason for Leaving Quit Terminated Reduction in Force / Lack of Work Other If other Job HoursAre you able to work Monday through Friday between the hours of 7:00 am and 2:30 pm?Work Hours* Yes No If you are not able to work between 7:00 am and 2:30 pm, what hours are you able to work?Start TIme : Hours Minutes AM PM Leave Time : Hours Minutes AM PM Present EmploymentAre you presently employed?* Yes No Present Employer Name Your Job Title Your Work Duties Start Date MM slash DD slash YYYY Please give information on your most recent previous employmentPrevious Employer Name Your Job Title Your work duties Started MM slash DD slash YYYY Ended MM slash DD slash YYYY Reason for Leaving Quit Terminated Reduction in Force / Lack of Work Business Closed Other If Other Next most recent previous employerPrevious Employer Name Your Job Title Your work duties Started MM slash DD slash YYYY Ended MM slash DD slash YYYY Reason for Leaving Quit Terminated Reduction in Force / Lack of Work Business Closed Other If Other Next most recent previous employerPrevious Employer Name Your Job Title Your work duties Started MM slash DD slash YYYY Ended MM slash DD slash YYYY Reason for Leaving Quit Terminated Reduction in Force / Lack of Work Business Closed Other If Other Recent Employment Cont'dIf none of the three jobs you listed above and in the previous steps were in the food industry, have you ever had a job working with food before?Food Industry Experience* Yes No If you answered yes to food industry experience, please provide the employment details of your most recent employer in the food industry.Employer Name Your Job Title Your Work Duties Started MM slash DD slash YYYY Ended MM slash DD slash YYYY Reason for Leaving Quit Terminated Reduction in Force / Lack of Work Business Closed Other If Other Certification By ApplicantCertification by Applicant* I certify that all information stated in this application is true and complete.I hereby authorize School Food & Nutrition Service, and/or its representatives, agents, employees or designees to contact my current or any previous employer for the purpose of requesting any and all information concerning my previous employment and any pertinent information which they may have concerning my employment. I also authorize School Food & Nutrition Service and its employees, agents, representatives, and designees to investigate all statements contained in this application for employment decision. I further authorize all present and former employers, along with the personal references listed in the application to give School Food & Nutrition Service, its employees, agent, representatives and designees’ any and all information concerning my previous employment with said employers. I understand that School Food & Nutrition Service requires certain applicants to undergo a post-offer, pre-employment physical examination, functional capacity testing and drug test as a condition of employment. I hereby give my consent to any such test or examination and consent to the release of the results of any such test or examination to School Food & Nutrition Service. I understand that information provided to School Food & Nutrition Service may be disclosed. I understand that the submission of this application for employment to School Food & Nutrition Service does not create a promise of employment or the creation of an employment contract or a term of employment. I understand that if I become employed with School Food & Nutrition Service that any employment relationship with School Food & Nutrition Service will be of an “at-will” nature. This means that I, as an employee, have the right to resign at any time with or without cause and with or without prior notice. I further understand that this “at-will” employment relationship may not be changed by anything anyone tells me or by any written document or conduct or representation unless I am provided and execute a written employment contract signed by the president of School Food & Nutrition Service. I understand that in submitting this application that it will considered active for no more than one year. If I intend to be considered for employment thereafter, I must reapply for a position with School Food & Nutrition Service. I understand that false information, information that School Food & Nutrition Service considers to be misleading, or the failure to provide a complete response to any question, whether on this application or in an interview with School Food & Nutrition Service’s representative(s), will disqualify me from further consideration for employment. I understand also that if School Food & Nutrition Service subsequently determines, after I am hired, that I either failed to provide necessary information, provided misleading information, provided false information, this determination should be satisfactory reason for School Food & Nutrition Service to terminate my employment. I certify that all information stated in this application is true and complete. I have read and understand the foregoing statement contained in this section entitled “Certification by Applicant.”