SUPPLEMENTAL APPLICATION
CAFETERIA WORKER
Please describe your experience in the following areas:
1. Preparing, storing and serving foods in large quantities.
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2. Sanitation and safety procedures relating to food preparation and serving.
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3. Counting money and making change.
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4. Industrial food service equipment you have used.
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Be sure that you have answered all questions on this application form.
I certify that I have carefully read and understand the job announcement and application form for this position and
that all statements that I have made are true, complete and correct to the best of my knowledge.
ACKNOWLEDGMENT OF DEPARTMENT OF JUSTICE CLEARANCE
I understand that all offers of employment are subject to and contingent upon the completion of a criminal
background check by the California Department of Justice. Convictions of certain crimes, including but not limited
to sex and narcotics offenses and serious and violent felonies, as specified in the California Education and Penal
Codes, will bar employment with the District and any contract or offer shall become null and void.
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Signature Date