We are always looking for good folks to join our team!  If you are interested in employment with us at either Ella's Cafe or the Hwy 31 Stop & Shop, pick up an APPLICATION FOR EMPLOYMENT FORM at our location, or print the application form below (Application is not available on the mobile app) and return it the Hwy 31 Stop & Shop in person or by mail (1738 Hwy 31, Mt. Calm, TX 76673) or by fax (254.993.1090).  

Currently, we are especially interested in applications for:  C-Store Clerk,  Cafe Wait Staff

 

APPLICATION FOR EMPLOYMENT                Today’s Date:                                                

 

PERSONAL INFORMATION

 

Name                                                                                                   Social Security Number                                     

             Last                               First                               Middle

 

Mailing Address                                                                                                                                                               

                             Street                                           Apt. #                             City                   State                   Zip

 

Phone Numbers            Home                                                     Cell                                                                             

 

Email Address                                                                                                                                                                             

 

Are you at least 17 years of age?         YES              NO

 

Are you prevented from lawfully becoming employed in this country because of visa or immigration status?

                YES              NO

 

Have you ever been convicted of a felony or subjected to deferred adjudication on a felony charge? 

                 YES              NO

If your answer is “Yes,” explain in concise detail on the back of this page, including dates, nature of offense,

and disposition of the case.  A conviction may not disqualify you, but a false statement will.

 

 

EMPLOYMENT DESIRED

 

I am applying for a position in              Hwy 31 Stop & Shop          Ella’s Cafe

Position you are applying for:                                                                                                                                         

                                                     (salesclerk, cook, kitchen assistant, wait staff, hostess, etc.)

 

     Full-Time (32-40 hrs. per week)          Part-Time    (approx. number of hours per week desired ___________)

 

Date you can start                                                       Salary Desired                                                                        

 

Do you have your own transportation?                             YES           NO

 

Are you employed now?                                                      YES           NO

If “Yes,” may we contact your current employer?            YES           NO   

EDUCATION

 

Name of School                                                                                                                                                 

Location of School                                                                                                                                             

Date Graduated or

Expected Date of Graduation                                                                                                                                 

 

High School:                                                                                                                                                        

 

 

College:                                                                                                                                                               

 

 

College:                                                                                                                                                               

 

 

PREVIOUS EMPLOYMENT

 

List below last three (3) employers, starting with your current or most recent job.

 

MONTH & YEAR(S) WORKED   From:                                                            To:                                                                   

NAME & ADDRESS OF EMPLOYER                                                                                                                                       

POSITION                                                                                                                                 

SALARY                                                                                                                    

REASON FOR LEAVING                                                                                                                                                          

:

 

MONTH & YEAR(S) WORKED   From:                                                            To:                                                                   

NAME & ADDRESS OF EMPLOYER                                                                                                                                       

POSITION                                                                                                                                 

SALARY                                                                                                                    

REASON FOR LEAVING                                                                                                                                                          

 

MONTH & YEAR(S) WORKED   From:                                                            To:                                                                   

NAME & ADDRESS OF EMPLOYER                                                                                                                                       

POSITION                                                                                                                                 

SALARY                                                                                                                    

REASON FOR LEAVING                                                                                                                                                          

 

REFERENCES

References must include at least one job-related contact.

 

Name                                                                                                                                          

Phone Number or Email Address                                                                                            

Relationship with Reference (supervisor, friend, co-worker, relative, etc.)                                                                 

Length of Time This Person Has Known You                                               

Name                                                                                                                                          

Phone Number or Email Address                                                                                            

Relationship with Reference (supervisor, friend, co-worker, relative, etc.)                                                                 

Length of Time This Person Has Known You                                               

Name                                                                                                                                          

Phone Number or Email Address                                                                                            

Relationship with Reference (supervisor, friend, co-worker, relative, etc.)                                                                 

Length of Time This Person Has Known You                                         

 

Do you have any specific skills, training, or certifications that would be beneficial for the job you are applying for?

If so, please explain:_____________________________________________________________________________________

 

Please list all job-related equipment that you have operated (computer, printer, cash register, kitchen equipment, etc.)

_______________________________________________________________________________________________________

 

Do you speak a language other than English?          YES           NO       If “Yes,” please list _______________        

 

Please read the following statements carefully and indicate your understanding and acceptance by signing

in the space provided.

*I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete and

    I understand that misstatement, falsification, or omission of information may be grounds for refusal to hire or, if hired, termination.

*I understand that I will be responsible for taking the Texas TABC Seller/Certified Food Handler course and providing proof of successful completion

     before I can begin work in Ella’s Cafe or Hwy 31 Stop & Shop.

*I understand that I will be responsible for taking both the Texas Certified Food Handler course and the TABC certification course and providing

     proof of successful completion before I can begin work in the Hwy. 31 Stop & Shop.

*I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the U.S.

*I authorize Fitzpatrick Preferred Partners, LLC, to conduct a background check as a condition of my employment. 

     My driver’s license number is ____________________________________________________.

*I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous

     employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by

     this application, and I release all such parties from all liability from any damages which may result from furnishing such information to you.

 

 

Signature of Applicant_________________________________________________   Date________________

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