Name * First Name Last Name Phone (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Position Applying For Desired Rate Of Pay * $ Availability * Full Time Part Time Employment Most Recent First Employer Start Date MM DD YYYY End Date MM DD YYYY Employer Phone (###) ### #### May We Contact? * Yes No Duties * Briefly Describe Your Role With This Company Reson For Leaving * Employer 2 Start Date MM DD YYYY End Date MM DD YYYY Employer Phone (###) ### #### May We Contact Yes No Duties Briefly Describe Your Role With This Company Reason For Leaving Please completely fill out this application. Failure to complete all sections may disqualify you from consideration for employment. Have you ever been convicted of a felony? * Yes No If yes, please list the date, charge, and disposition *You need not disclose a conviction a) that was judicially expunged or sealed b) for a marijuana related offense over 2 years old c) if you completed a pre or post trial diversion program or d) for a misdemeanor for which probation was successfully completed (or discharged) and the case was judicially dismissed. A conviction will not necessarily be a bar to employment. Education Highest Grade Completed * Personal References List two individuals who will act as personal references. Do not use family members. Please list name, telephone, and relationship. 1. * Name & Contact Number 2. * Name & Contact Number If you were referred by an employee, please print their name here: Acknowledgements Please read carefully, check each paragraph, and sign below. * I certify that the statements I have made on this application are true and correct. I understand that any misrepresentations made in this application will be sufficient cause for denial of employment with or discharge from Nonesuch. I understand that nothing contained in this application, or the granting of a relationship at any time, for any reason, with or without cause. I certify that if employed by Nonesuch, I will abide by all company rules and regulations. I authorize Nonesuch to investigate my background to determine my suitability for employment and use of any information lawfully obtained for any employment related purpose permitted by law. This investigation may include checking with the schools and employers I have identified, reviewing criminal conviction and driving records, and verifying any other relevant information about me. I release and waive any claims I may have against and indemnify Nonesuch and any of the schools, former employers, and other persons or entities for any loss or injury I may sustain as a result of any disclosure made related to this application. The use, possession, or being under the influence of illegal drugs or alcohol while on company time is prohibited and will result in disciplinary action, up to and including termination of employment. I herby agree to any lawful drug or integrity testing or post offer medical examination that may be required as a condition of employment and understand that refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including discharge. I authorize any physician, hospital, laboratory or collection site to release to Waffle Champion the results of any test or examination or other information which may be necessary to determine my ability to perform the duties of a job for which I am being considered, prior to employment or in the future during my employment with Nonesuch. Name | Date * *I have agreed to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge. Thank you for showing interest in joining the team. Our leadership team will reach out and schedule an interview. Feel free to also email your resume to info@nonesuchokc.com.