Meals on Wheels of Central Maryland

Job Application

* Required Field

Job Opening

Cold Food Cook/Finishing Cook

Applicant’s Information

*Last name:	*First name:	Middle name	*Title:

*Address:	Apt. #:

*City:	*State:	*Zip:

*Phone (Home):	Phone (Work):	Can we call work?
		Yes No

Email:

How were you referred to MOW?

Please specify:

Have you ever been convicted of a felony, misdemeanor or convicted in a military court martial (omit minor traffic violations) in the past ten years which has not been anulled or expunged or sealed by a court?

Yes No

If yes, explain:

Note: The listing of any convictions will not absolutely bar an application from consideration.

Are you over the age of 18?

Yes No
If no, then hire is subject to verification that you are of minimum legal age. If you are not legal age, your employment is subject to fulfilling all of the requirements mandated by applicable Child Labor Laws for the position for which you are applying.

*Position Desired:	Salary desired	Date can start

Are you presently employed?

Yes No

*Have you ever been employed by MOWCM?	Year
Yes No

*Type of employment desired

Do you have automobile insurance?	Driver's License # (Optional)
Yes No

Education

High School

*Name & location of school

*Date Graduated

*Course of study

*Degree Granted

College

Name & location of school

Date Graduated

Course of study

Degree Granted

Trade, Business, or Special Studies

Name & location of school

Date Graduated

Course of study

Degree Granted

Other Training Seminars/Computers/Office Machines/License of Certifications:

Employment History

List all present and past employment including service in the United States Armed Forces beginning with your last job.

Employer 1

Name & address of employer

Phone number

From	To
	(month and year)
Position

Salary

Reason for separation

Employer 2

Name & address of employer

Phone number

From	To
	(month and year)
Position

Salary

Reason for separation

Employer 3

Name & address of employer

Phone number

From	To
	(month and year)
Position

Salary

Reason for separation

References

List the names, addresses and phone numbers of your last 2 supervisors and 1 personal reference.

BUSINESS - Supervisor 1

Name

Name and address of employer

Phone number

BUSINESS - Supervisor 2

Name

Name and address of employer

Phone number

PERSONAL

Name

Name and address of employer

Phone number

Contracts

Are you currently subject to the provisions of an employment contract, either with your present employer or through previous employment?

Yes No

If yes, please explain:

Authorization

I authorize an inquiry to be made on the information contained herein. If I am considered for employment, former employers named herein are authorized to give information regarding me. They are heryby released from all liability for issuing such information. I hereby waive any privilege I have as to such information. I understand that misrepresentation or omission of facts will be cause for cancellation of consideration for employment or dismissal if employed.

I understand and agree that

this employment application and any of the company documents are not contracts of employment
if I am hired, in consideration of my employment, I will conform to the rules and regulations and policies of Meals on Wheels which may be notified, amended or deleted at any time at the sole discretion of Meals on Wheels
My employment and compensation may be terminated with or without notice at any time at the option of either Meals on Wheels or myself. I understand that any oral or written statements to the contrary are hereby expressly disavowed and may not be relied upon by me.

*I agree to the terms stated above

Yes No

Additional Information

Is there anything that you would like to add?

Would you like to attach your resume?

Website URL: If you can read this, DO NOT fill in this field.

Meals on Wheels of Central Maryland

Job Application

Job Opening

Applicant’s Information

Education

High School

College

Trade, Business, or Special Studies

Employment History

Employer 1

Employer 2

Employer 3

References

BUSINESS - Supervisor 1

BUSINESS - Supervisor 2

PERSONAL

Contracts

Authorization

Additional Information

Submit