SurveyMonkey Powered Online Survey

1. Employment Application

Question Title

* Contact Information

Full Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* Which open position are you applying for?

Development Manager

Data Analysis Specialist

Route Driver

Question Title

* Desired Salary

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* What days are you available?

No Preference

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Question Title

* How many hours can you work weekly?

Question Title

* Can you work nights/weekends?

Yes

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* Desired Employment Status

Full-time Only

Part-time Only

Either

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* When are you available to start?

Enter a start date below.

Date

Question Title

* High School or GED

Name of School

Address

Date Completed

Degree/Major

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* College/Trade School

Name of School

Address

Date Completed

Degree/Major

Question Title

* Have you ever been convicted of a crime?

Yes

Question Title

* If yes, was this a drug related conviction?

Yes

If yes to either of the above questions, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

Failure to properly disclose this information will negatively affect your consideration as a job applicant.

Question Title

* Do you have a driver’s license?

Yes

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* Driver’s License Information

License Number

State of Issue

Expiration Date

Question Title

* Driver's License Classification

Operator

Commercial (CDL)

Chauffeur

None of the above

Question Title

* Have you had any accidents during the past three years?

Yes

If yes, how many?

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* Have you had any moving violations during the past three years?

Yes

If yes, how many?

Question Title

* Please indicated which equipment you are able to use:

Electric Pallet Jack

Manual Pallet Jack

Forklift

Personal Computer

Any other special skills you would like to share?

Question Title

* Please list two references other than relatives or previous employers.

Reference #1 Name

Phone Number

Company

Poistion

Reference #2 Name

Phone Number

Company

Position

Question Title

* An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Question Title

* Have you ever been in the armed forces?

Yes

If yes, what was your specialty, date entered and discharge date?

Question Title

* Are you now a member of the national guard?

Yes

Question Title

* Work Experience #1

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Employer

Address

Phone Number

Name of Supervisor

Employment Dates

Starting Pay/Salary

Final Pay/Salary

Your last job title.

Reason for leaving (be specific).

Question Title

* Work Experience #1

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Question Title

* Work Experience #2

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Employer

Address

Phone Number

Name of Supervisor

Employment Dates

Starting Pay/Salary

Final Pay/Salary

Your last job title.

Reason for leaving (be specific).

Question Title

* Work Experience #2

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Question Title

* Work Experience #3

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Employer

Address

Phone Number

Name of Supervisor

Employment Dates

Starting Pay/Salary

Final Pay/Salary

Your last job title.

Reason for leaving (be specific).

Question Title

* Work Experience #3

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Question Title

* May we contact your present employer?

Yes

Question Title

* Did you complete this application yourself?

Yes

If not, who did?

Question Title

* Upload your resume.

PDF, DOC, DOCX file types only.

Choose File

Application Form Waiver

In exchange for the consideration of my job application by Toledo Northwestern Ohio Food Bank, Inc. (hereinafter called “the Company”), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Toledo Northwestern Ohio Food Bank, Inc., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President of the Board of Directors of the Company. Both the undersigned and Toledo Northwestern Ohio Food Bank, Inc. may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

The Toledo Northwestern Ohio Food Bank, Inc. is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.

Question Title

* I accept the waiver above and wish to submit my application for employment consideration.

Full Legal Name

Today's Date

1. Employment Application

Question Title

* Contact Information

Question Title

* Which open position are you applying for?

Question Title

* Desired Salary

Question Title

* What days are you available?

Question Title

* How many hours can you work weekly?

Question Title

* Can you work nights/weekends?

Question Title

* Desired Employment Status

Question Title

* When are you available to start?

Question Title

* High School or GED

Question Title

* College/Trade School

Question Title

* Have you ever been convicted of a crime?

Question Title

* If yes, was this a drug related conviction?

Question Title

* Do you have a driver’s license?

Question Title

* Driver’s License Information

Question Title

* Driver's License Classification

Question Title

* Have you had any accidents during the past three years?

Question Title

* Have you had any moving violations during the past three years?

Question Title

* Please indicated which equipment you are able to use:

Question Title

* Please list two references other than relatives or previous employers.

Question Title

* An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Question Title

* Have you ever been in the armed forces?

Question Title

* Are you now a member of the national guard?

Question Title

* Work Experience #1Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Question Title

* Work Experience #1List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Question Title

* Work Experience #2Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Question Title

* Work Experience #2List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Question Title

* Work Experience #3Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Question Title

* Work Experience #3List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Question Title

* May we contact your present employer?

Question Title

* Did you complete this application yourself?

Question Title

* Upload your resume.

Question Title

* I accept the waiver above and wish to submit my application for employment consideration.

* Work Experience #1

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

* Work Experience #1

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

* Work Experience #2

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

* Work Experience #2

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

* Work Experience #3

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

* Work Experience #3

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.