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Form: Employee Application

Step 1 of 4

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Name
Position Sought
If unlisted, leave blank
Present Address
MM slash DD slash YYYY

Are You Authorized to Work in the US?
Have you ever worked for Second Harvest?
MM slash DD slash YYYY
Start Date
MM slash DD slash YYYY
End Date
Have you ever been convicted of a Felony or misdemeanor other than a minor traffic violation that has not been expunged by court?

Education History

Did you graduate?

MM slash DD slash YYYY
MM slash DD slash YYYY
Did you graduate?

MM slash DD slash YYYY
MM slash DD slash YYYY
Did you graduate?

Employment History

Are you Presently Employed?
List Any Professional Licenses you hold that are applicable to the position applied for:
Type
License #:
Expiration Date:
 

Previous Employment

MM slash DD slash YYYY
MM slash DD slash YYYY
May we Contact your Previous Supervisor for a Reference?

Previous Employment

MM slash DD slash YYYY
MM slash DD slash YYYY
May we Contact your Previous Supervisor for a Reference?

Previous Employment

MM slash DD slash YYYY
MM slash DD slash YYYY
May we Contact your Previous Supervisor for a Reference?

References

Full Name

Full Name

Full Name
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    Consent(Required)
    - Second Harvest Food Bank of East Central Indiana is an Equal Opportunity Employer and as such will recruit and hire employees without regard to race or ethnicity, religion, national origin, gender identity or presentation, sexual orientation, age, political affiliation, veteran status, or disability except when physical condition is a bona fide occupational qualification. Second Harvest will not tolerate discrimination or harassment based on any of these characteristics.
    - This application must be filled out in detail. Failure to complete all sections, or to sign this form, will result in its being returned for completion, causing delay or possible disqualification.
    - I understand and agree that acceptance of this application in no way obligates Second Harvest to employ me or that there are any positions available.
    - As an applicant for employment with Second Harvest, I have furnished information for use in determining my qualifications for employment. I hereby authorize Second Harvest to conduct a thorough background investigation to further support the statements contained herein.
    - I understand and agree that if employed, I will be an employee “at will” and will have the right to terminate my employment at any time, with or without notice and with or without cause, and that Second Harvest will have the same right.
    - I hereby affirm that all statements made herein are true and correct to the best of my knowledge and understand that any misrepresentation may result in my being disqualified from further consideration or being terminated should I already be employed by Second Harvest.



    Weekday Hours
    Office: 8am - 5pm
    Receiving: 10am - 3pm click here to arrange for deliveries
    Volunteers: 9a-12p • 1p-4p

    Latest News

    • Food Insecurity During Thanksgiving November 23, 2022
    • Let’s make sure you’re still covered by Medicaid! June 7, 2022
    • A Day at Asbury Senior Safety Net May 20, 2022

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