Careers

Employment Experience

Please list the names of your present or previous employers in chronological order with present or most recent employer listed first. Be sure to account for all periods of time. If self-employed, give firm name and supply business references. Add additional page if necessary.

May we contact?

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May we contact?

May we contact?

May we contact?

Have you ever been involuntarily terminated or asked to resign from any job?

Education

Please describe your educational background in the table provided below.

Add Education

Diploma/
Degree

Diploma/
Degree

Diploma/
Degree

Diploma/
Degree

Diploma/
Degree

Business and Professional References

Please list three professional references of individuals who are not related to you.

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Personal References

Please list three people who know you well.

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General Information

Have you ever used another name?

Is any additional information relative to name changes, use of an assumed name, or nickname necessary to enable a check on your work and educational record?

Have you ever worked for this Foodbank of Southeastern Virginia and the Eastern Shore before?

Days available to work:

Days available to work:

If hired, would you have a reliable means of transportation to and from work?

Can you travel if the position requires it?

Are you at least 18 years old?

If hired, can you present evidence of your identity and legal right to work in this country?

Are you able to perform the essential job functions of the job for which you are applying with or without reasonable accommodation?

Applicant Statement and Agreement

Please read and initial each paragraph below. If there is anything that you do not understand, please ask.

My signature below attests to the fact that I have read, understand, and agree to all of the above terms.