Work Application for Farm Fresh Chef Personal Chef, LLC Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Social Security Number * Are You a U.S. Citizen * YES NO Have You Ever Been Convicted of a Felony? * YES NO Highest Level of Education * Employment History * Please list the most recent 3 jobs you had, your hourly pay, and your responsibilities. References * Please list 3 work references I certify that all answer given herein are true and complete to the best of my knowledge * Yes No I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. * Yes No In the event of my employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. Yes No Background Check * As part of our standard hiring process, we conduct background checks on all potential employees. This check helps us ensure the safety and security of our workplace, as well as maintain the integrity of our team. Before we proceed with the background check, we kindly ask for your authorization. By selecting "yes" below, you are hereby authorizing a background check to be conducted on behalf of Farm Fresh Chef Personal Chef, LLC. If you have any questions or concerns regarding the background check or the authorization form, please don't hesitate to reach out to us. We are here to assist you throughout this process. Do you authorize a pre-employment or screening? Yes No Please Type Your Full Name * By providing your full name and submitting this form, you acknowledge that it serves as your signature. Thank you for taking the time to apply. Your time is valuable and will be considered for the position. Thank you, Farm Fresh Chef Personal Chef, LLC
