CBM Foodservice, Inc. - Job Opportunities

Please complete all sections thoroughly. CBM Food Service is an equal opportunity employer. It is our policy to abide by all federal, state, and local laws, ordinances and regulations prohibiting employment discrimination. As an alternative to filling out the form below, you may click here for a printable application to fill out and mail or deliver to CBM Food Service -- Attn: Human Resources, 2219 East Benson Rd., Sioux Falls, SD 57104.

PERSONAL INFORMATION

Date:

Soc. Sec. #:

Last name:

First name:

MI:

Address:

City, State, Zip:

Previous Address, if at current address less than 5 years:

Home ph.:

Work ph.:

How did you hear about CBM Food Service?

EMPLOYMENT DESIRED

Position:

Full time Part Time Other

Date available

Salary desired:

EDUCATION

School name/location	Dates attended	Graduated	Courses of study	GPA
High school:			Degree
			Major
College:			Degree
			Major
Graduate school:			Degree
			Major
Other (specify):			Degree
			Major

Have you ever applied to CBM Food Service before?

Yes No

If so, when?

Have you been convicted of any felony? (Please do not include convictions for which the record has been judicially ordered sealed, expunged or statutorily eradicated.) Conviction will not necessarily disqualify an applicant from employment. Factors such as age and time of the offense, seriousness and nature of the violation, among other factors, will be considered.

Yes Year

Conviction

If yes, please explain:

CURRENT or MOST RECENT EMPLOYER

List your last three employers beginning with the most recent

Employer:	Dates Employed		Work performed:
Address:	From	To
City/State/Zip:
Phone #(s):	Hourly Rates/Salary
Job title:	Starting	Ending
Supervisor:
Reason for leaving:

PAST EMPLOYERS

Employer:	Dates Employed		Work performed:
Address:	From	To
City/State/Zip:
Phone #(s):	Hourly Rates/Salary
Job title:	Starting	Ending
Supervisor:
Reason for leaving:

Employer:	Dates Employed		Work performed:
Address:	From	To
City/State/Zip:
Phone #(s):	Hourly Rates/Salary
Job title:	Starting	Ending
Supervisor:
Reason for leaving:

EMPLOYMENT STATEMENT

I certify that the answers given herein are true and complete to the best of my knowledge. If hired, I understand and agree that any false statement or answers or any material omission is sufficient cause for dismissal, and I release CBM Food Service Inc. from all liability if employment is terminated for false statements, answers or omissions.

I authorize investigation of all information contained in the application, including my qualifications, character and/or ability from former employers, schools or individuals given as references.

May we contact your current employer? YES NO

If hired, I will comply with all CBM Food Service policies, rules and regulations.

I UNDERSTAND THAT THIS APPLICATION IS NOT AND IS NOT INTENDED TO BE A CONTRACT OF EMPLOYMENT. I FURTHER UNDERSTAND THAT IF HIRED, MY EMPLOYMENT CAN BE TERMINATED AT ANY TIME WITH OR WITHOUT CAUSE, WITH OR WITHOUT NOTICE, EITHER VOLUNTARILY OR INVOLUNTARILY. IF HIRED, I UNDERSTAND THAT MY EMPLOYMENT WILL BE SUBJECT TO A 90-DAY INTRODUCTORY PERIOD. COMPLETION OF THE INTRODUCTORY PERIOD DOES NOT IN ANY WAY ALTER THE "AT-WILL" NATURE OF MY EMPLOYMENT.

If offered employment at CBM Food Service, I understand that I will be required to provide verification of my employment eligibility in the United States.

	I HAVE READ IN FULL, UNDERSTAND AND AGREE TO THE FOREGOING STATEMENTS AND CONDITIONS.
	Applicant name:	Date of application:

"Your Satisfaction is Our Success"

Human Resources contact Charlene Tharp - char@cbmfoodservice.com

CBM Food Service
2219 East Benson Rd.
Sioux Falls, SD 57104
605-335-0825 Phone
605-977-1836 Fax