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Direct Store Delivery/Relief Route Salesperson - servicing the Buffalo and Rochester market areas
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We are an Equal Opportunity Employer and do not discriminate on the basis of race, color, religion, gender, age, national origin, disability,
veteran status, sexual orientation, gender identity, or any other classification protected by federal, state, or local law.

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Personal Information

Please use the following format: 1-XXX-XXX-XXXX

Please use the following format: 1-XXX-XXX-XXXX

How did you hear about us?

If you were referred by one of our employees, let us know who we can thank!

Additional Information

Have you ever been an employee at this company before? If yes, give dates and position.

Have you ever work on assignment at this company before? If yes, give dates and position.

Do you have any friends or relatives working here? If yes, give name and relationship.

Have you ever been convicted of a misdemeanor or felony? 

Select N/A if you reside in or the position you are applying for is located in one of the following states: Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New Jersey, Oregon, Rhode Island, Vermont, Virginia; OR in one of the following Cities/Counties: Austin, Baltimore, Buffalo, Columbia (MO), Montgomery County (MD), New York City, Philadelphia, Prince George’s County (MD), Rochester, San Francisco, Seattle, Washington D.C.

Please note that a “yes” answer to the question above will not necessarily/automatically disqualify you from employment. Factors such as the age and time of the offense, seriousness and nature of the violation and rehabilitation will be considered when making any employment decisions.

For CA residents only, do not include convictions that were sealed or expunged, arrests not leading to a conviction or a non-felony conviction for possession of marijuana if the conviction is more than two years old.

Have you ever been terminated or asked to resign from any job? If yes, please explain circumstances

Are you legally able to work in the United States?

Please explain the gaps in your employment history, if applicable.

Please enter the license number for your vehicle operator's license or permit.

Have you ever been denied a license, permit, or privilege to operate a motor vehicle?

Has your license, permit, or privilege to operate a motor vehicle ever been suspended or revoked?

Have you ever been denied insurance to drive a motor vehicle?

If you answered "Yes" to any of the above inquiries regarding a denial, suspension, or revokation or your license, or a denial of insurance to drive a motor vehicle, please describe the relevant facts and circumstances.

Please list the following information regarding your vehicular equipment experience for each type of eqiupment operated:

-Type of equipment operated (e.g. straight truck, tractor-semi-trailer, tractor-two trailers, van, bus, etc.)

-Dates operated

-Approximate total number of miles driven

List the states in which you operated a motor vehicle in the past five years.

Have you completed any special courses or training that will help you as a driver?

If you have completed special driver courses or training, please explain.

Describe any safe driving awards you have received (when you received them, for what, from whom, etc.)

Did you pass your most recent DOT physical?

Please list the name of the doctor or facility who completed your most recent DOT physical.

Please list the address of the doctor who completed your most recent DOT physical.

List traffic convictions, vehicle violations, and bond or collateral foreitures for violation of motor vehicle laws for the past three (3) years (other than parking violations). Please include the follow details for each violation:

-Location/Jurisdiction:

-Date:

-Offense (if speeding, rate and limit):

-Vehicle:

-Penalty:

Please list all motor vehicle accidents for the past three (3) years. Include all of the following information for each accident:

-Accident date

-Accident details

 

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Employment History

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Education History

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Certificates and Licenses

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References

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Application Review

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Applicant's Statement

I understand that this employment application and any other Company documents are not promises of employment. Should I be employed I understand that my employment will be on a trial period for three months from the date of my hiring. I further understand that, if I am employed, I can terminate my employment with or without cause and with or without notice at any time, and that the Company has a similar right. I understand that no manager or representative of Martin's Famous Pastry Shoppe, lnc. has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, except only the president may do so in writing.

I understand that I will be required to undergo a drug and alcohol screening test, whether by urinalysis, blood test, breathalyzer, or other procedure, both prior to employment and during employment, and I hereby give my consent to any such test. I understand that the Company reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law. I consent to the release of results of any such test or examination to the Company. I further understand that I may be required to undergo pre-employment and/or biennial D.O.T. physical examinations. I consent to the release of results of any such examination to Martin's Famous Pastry Shoppe, Inc.

In making this application for employment, I understand that the Company may investigate my driving record and my criminal record and that an investigative consumer report may be made, whereby information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, financial responsibility, and mode of living. I understand that I have a right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigative consumer report.

I understand that the information I have provided on this application may be used, and my prior employers may be contacted, for the purpose of investigating my background. I authorize former and present employers, work and personal references listed in the application, and any other individuals I may name, to give Martin's Famous Pastry Shoppe, Inc. or its designee any and all information concerning my previous employment and any pertinent information they may have, and release such parties from all liability for any damages that may result from furnishing same to Martin's Famous Pastry Shoppe, Inc.

I certify that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge. I agree that if the information is found to be false, misleading, or unsatisfactory in any respect (in exclusive judgment of the Company), I will be disqualified from consideration for employment or subject to immediate dismissal if discovered after l am hired.

Do not sign this until you have read and understand this statement.

Candidate Sign Off

I have read and understand this statement.

We are an Equal Opportunity Employer and do not discriminate on the basis of race, color, religion, gender, age, national origin, disability,
veteran status, sexual orientation, gender identity, or any other classification protected by federal, state, or local law.