Fillable Printable Baja Fresh Application Form
Fillable Printable Baja Fresh Application Form
Baja Fresh Application Form
Job Application
Personal Information
Last Name First Name
M.I. SSN
Birth Date
Address Email Address
City
State
ZIP Phone
Are you able to perform the responsibilities of the position with reasonable accomodations?
Can you provide proof of eligibility to work in the United States?
If you are under age 18, do you have an employment/age certificate?
Have you been convicted of or pleaded no contest to a felony within the last five years?
If yes, please explain:
Availability
Please list the hours you are available to work
Morning Midday Afternoon Evening
Monday Are you available to work holidays?
Tuesday
Wednesday Are you available to work nights?
Thursday
Friday Type of work desired:
Saturday
Sunday
If hired, on what date would you be available to begin work?
How many hours per week are you available to work?
Education
High School
Name Major/Minor Graduation Date
City and State Number of Units Honors/Recognitions
College/
University
Name Major/Minor Graduation Date
City and State Number of Units Honors/Recognitions
Graduate
School
Name Major/Minor Graduation Date
City and State Number of Units Honors/Recognitions
Technical/
Trade
School
Name Major/Minor Graduation Date
City and State Number of Units Honors/Recognitions
YesNo
YesNo
YesNo
YesNo
YesNo
Part-timeFull-time SeasonalTemporary
YesNo
Skills
Office Use Only
OS Versions:
Typing
WPM:
Word Processing
WPM:
Ten-Key
Other Skills
Work Experience
Military
Have you ever served in the armed forces?
Branch
Specialty
Enlisted Discharged
Are you currently a member of a National Guard or State Defense Force unit?
Work History
May we contact your current or last employer?
Current/Last Employer
Employer Name
From To
Job Title
Address Phone Number
Reason For Leaving (Be specific)
Previous Employer
Employer Name
From To
Job Title
Address Phone Number
Reason For Leaving (Be specific)
Previous Employer
Employer Name
From To
Job Title
Address Phone Number
Reason For Leaving (Be specific)
Previous Employer
Employer Name
From To
Job Title
Address Phone Number
Reason For Leaving (Be specific)
Previous Employer
Employer Name
From To
Job Title
Address Phone Number
Reason For Leaving (Be specific)
I hereby attest that all of the information I have provided is true and correct to the best of my knowledge. I am aware that
missing, misleading, or false information is grounds not to hire me, or for my termination after hiring.
Applicant Signature
Date
Windows Mac Linux
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
