Fillable Printable Baja Fresh Application Form
Fillable Printable Baja Fresh Application Form
Baja Fresh Application Form
Job Application
Personal Information
Last NameFirst Name
M.I.SSN
Birth Date
AddressEmail Address
City
State
ZIPPhone
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
MorningMiddayAfternoonEvening
MondayAre you available to work holidays?
Tuesday
WednesdayAre you available to work nights?
Thursday
FridayType 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
NameMajor/MinorGraduation Date
City and StateNumber of Units Honors/Recognitions
College/
University
NameMajor/MinorGraduation Date
City and StateNumber of Units Honors/Recognitions
Graduate
School
NameMajor/MinorGraduation Date
City and StateNumber of Units Honors/Recognitions
Technical/
Trade
School
NameMajor/MinorGraduation Date
City and StateNumber of Units Honors/Recognitions
YesNo
YesNo
YesNo
YesNo
YesNo
Part-timeFull-timeSeasonalTemporary
YesNo
Skills
Office Use Only
OSVersions:
Typing
WPM:
Word Processing
WPM:
Ten-Key
Other Skills
Work Experience
Military
Have you ever served in the armed forces?
Branch
Specialty
EnlistedDischarged
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
FromTo
Job Title
AddressPhone Number
Reason For Leaving (Be specific)
Previous Employer
Employer Name
FromTo
Job Title
AddressPhone Number
Reason For Leaving (Be specific)
Previous Employer
Employer Name
FromTo
Job Title
AddressPhone Number
Reason For Leaving (Be specific)
Previous Employer
Employer Name
FromTo
Job Title
AddressPhone Number
Reason For Leaving (Be specific)
Previous Employer
Employer Name
FromTo
Job Title
AddressPhone 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
WindowsMacLinux
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
