Application For Employment

HERSHEY'S Application For Employment DATE:
Position Desired
Name
Street Address
City
State
Postal Code
Phone #
Are You 18 Years or older?		Yes No
Did you Graduate from High School?		Yes No
Previous / Present Employer
Name	Phone #	Dates Worked	Reason For Leaving	Position
1.
2.
3.
4.

Reference:
Name		Phone Number

Do you have any physical condition that could be aggravated by any work for which you are being considered?				Yes No
When would you be able to start?
How many hours or shifts per week would you ideally like to work?
Can you work: Lunches Dinners Splits Sundays
Are there certain times when you are not available to work?
Are there special dates within the next three months that you would not be able to work?
We are open several holidays (such as Easter Sunday), will you be able to work these?				Yes No
How much money per hour or shift do you expect to make?
Do you have any interest in future training for another position with our company? Please Describe
Do you smoke cigarettes?		Yes No	If yes, we do have certain rules about smoking.
Do you have reliable transportation?				Yes No
We do not consider lack of a ride to work to be a valid reason for absence. It is you responsibility to report to work as scheduled.
If you have children, do you have a reliable babysitter?				Yes No
We do not consider lack of a babysitter to be a valid reason for being absent.This would include any mandatory meetings for you department.
What special skills, experience or attributes do you have that you believe make you particularly qualified for employment at Hershey's Steak and Seafood?

Are you currently attending school? If so, where do you attend, how much longer will you be enrolled there, and what is your course of study?

Are available to work a minimum of 2 lunches per week Monday through Thursday?				Yes No
By submitting this form you certify that the above facts are true and complete to the best of my knowledge and you understand that falsified statements shall be grounds for dismissal. You understand and agree that, if hired, your employment is for no definite period and my be terminated without prior notice.