Employment Application

Personal Information

Full Name (required)

Email (required)

Phone Number (required)

Current Address (required)

City (required)

State (required)

ZIP Code (required)

Are you eligible to work in the United States and can you provide proof of such eligibility if hired? YesNo

Are you 18 years of age or older? YesNo


Position applying for: (select)BakeryAdminSalesDelivery Route SalesmanGeneral

What is the earliest date that you can report to work?

Have you been employed previously by Cellone’s? NoYes

If yes, what was the last date that you worked for Cellone’s.

If yes, what was your previous position?

Employment History

List your previous Employer, beginning with your most recent employment:


Employer Name One
Title/position
Dates of Employment
Supervisor
Responsibilities
Why did you leave?


Employer Name Two
Title/position
Dates of Employment
Supervisor
Responsibilities
Why did you leave?


Employer Name Three
Title/position
Dates of Employment
Supervisor
Responsibilities
Why did you leave?

Education History

Name of High School
Did you graduate?
Date of graduation or attendance


Name of College or Trade School
Did you graduate?
Date of graduation or attendance
Major or area of study


Other Education
Did you graduate?
Date of graduation or attendance
Major or area of study

Applicants Employment Certification

I HEREBY CERTIFY that my answers in the above Cellone’s Application are true and accurate, and I have not knowingly withheld any facts or other information that would, if disclosed, affect my application. I also understand that any false or misleading statement or omission of pertinent information will result in the rejection of my application, or in dismissal if discovered subsequent to my employment.

I agree to the above statement.*