Eastern Wyoming College APPLICATION FOR EMPLOYMENT
3200 West C Street Torrington, WY 82240 FOOD SERVICES APPLICATION
Eastern Wyoming College is committed to providing equal opportunity for access to and participation in college programs of instruction, services,
and activities. It is the policy of the college to neither favor nor disfavor any individual on the basis of race, color, creed, religion, sex, disability, or
national origin. The college is subject to and complies with the regulations of Title VII of the Civil Rights Act of 1964, Title IX of the Education
Amendments o 1972, and Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act. Inquiries regarding compliance may
be directed to the Director of Human Resources, Eastern Wyoming College, Torrington, WY, 82240 or phone (307) 532-8330, or the Wyoming
Department of Education, Office for Civil Rights Coordinator, 2
nd
Floor, Hathaway Building, Cheyenne, WY 82002-0050, or (307) 777-6218.
Date _____________________________________________ Name _______________________________________________________
(Last) (First) (Middle)
Address ______________________________________________________
Telephone __________________________________________ _____________________________________________________________
Name and address of person to be notified in case of emergency.
U.S. Citizen Yes ______ No ______ _____________________________________________________________
If not, VISA Class _________________ _____________________________________________________________
Student __________ Non-Student ____________ Can you accept position immediately? ___________
For what kind of position are you applying? _______________ If not, how soon? ______________________________________________
Other work you would consider:
1._________________________________________________ Have you ever worked at EWC before? ______________
2._________________________________________________ When? ______________ Department _____________________________
3._________________________________________________ Reason for leaving? ____________________________________________
Have you ever been convicted of a misdemeanor or felony? ____ Have you ever been suspended or discharged from a position? ______
Explain: ____________________________________________ Reason: ____________________________________________________
___________________________________________________ ____________________________________________________________
EDUCATION
High School: ___________________________________________ Business College: ___________________________________
Location: _____________________________________________ Location: _________________________________________
Years Completed: __________ Years Completed: __________
Did You Graduate: __________ Did You Graduate? __________
College or University: ____________________________________ Special Training: _____________________________________
Location: ______________________________________________ Location: ___________________________________________
Years Completed: __________ Years Completed: __________
Dates Attended: ________________________________________ Dates Attended: ______________________________________
Did You Graduate? _______ Major ___________ Minor ________ Did You Graduate? __________
EMPLOYMENT HISTORY Begin with most recent employment. May we contact your current employer? __________
Employer:
Employer:
Employer:
Address:
Address:
Address:
Supervisor:
Supervisor:
Supervisor:
Type of Position:
Type of Position:
Type of Position:
Starting Date:
Starting Date:
Starting Date:
Ending Date:
Ending Date:
Ending Date:
Reason for Leaving:
Reason for Leaving:
Reason for Leaving:
Salary:
Salary:
Salary:
REFERENCES May be personal or business references (do not use those listed above or relatives.)
Name:
Name:
Name:
Address:
Address:
Address:
Phone:
Phone:
Phone:
Profession or Occupation of Reference:
Profession or Occupation of Reference:
Profession or Occupation of Reference:
Please check the following with which you have had experience or training:
Dish Washing
Salad Preparation
Inventory Control
Cashier
Safety/First Aid
Commercial Dishwasher
Commercial Coffee Maker
Stack Ovens
Maintenance of Kitchen Equipment
Baking
Serving
Working Under Direction
Cleaning of Kitchen Equipment
Commercial Mixer
Soft Drink Dispenser
Deep Fat Fryer
Word Processor
Purchasing
Supervision
Dietetics/Nutrition
Hostess/Host
Steam Table
Slicer
Grill
Other
Cash Register
Menu Preparation
I certify that all information given on this application, supporting documents, and interviews is correct to the best of my knowledge. I understand that giving false
information is cause for dismissal and that a physical examination (post conditional offer) may be required. I understand that this application is not intended to be a
contract of employment. I agree that Eastern Wyoming College may require my participation in a contribution to retirement plans while employed. I further authorize
Eastern Wyoming College to investigate all statements made on my application for employment. I authorize such educational institutions and employers and others
(and their agents or employees) to respond to questions concerning information given on this application and I further release from liability such former employers,
institutions, or person providing such information to Eastern Wyoming College. I understand that no offer of benefits such as insurance, vacation, or salary rate is final
until approved by the Director of Human Resources. I understand that I will be required to complete an I-9 form for income tax purposes. I understand that I will be
required to serve a probationary period during which time I may be terminated in accordance with Eastern Wyoming College policy.
Signature ____________________________________________________ Date ________________________________
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