As part of The Holland Inc./Burgerville's commitment to creating a fair and inclusive work environment, they present an hourly crew employment application that embodies their position as an Equal Opportunity Employer. This comprehensive form has been designed with the intention of eliminating bias and ensuring that every candidate, regardless of race, religion, color, national origin, ancestry, sex, sexual orientation, age, physical or mental disability, marital status, gender identity, workers compensation or veteran status, receives an equal chance at employment based solely on job-related factors. Applicants are encouraged to provide detailed responses to each question, with additional space available on blank paper if needed, to avoid leaving any query unanswered as this can delay the application process. The application covers a wide variety of areas, including personal information, availability for work, transportation reliability, food handler’s card possession, legal work status in the United States, and past employment history including any instances of unemployment and reasons for leaving previous jobs. Prospective employees are also asked about their educational background, reasons for wanting to work at Burgerville, and their future career aspirations. To ensure integrity and accuracy, applicants are required to affirm the truthfulness of their provided information, understanding that any falsification may lead to dismissal. Additionally, the application informs candidates about the potential for background checks in compliance with the Fair Credit Reporting Act, stressing the importance of transparency and consent. The Burgerville application process is designed to be comprehensive and transparent, offering an equal opportunity for all applicants while also preparing them for the employment vetting process ahead.
| Question | Answer |
|---|---|
| Form Name | Burgerville Application Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | unspecified, Portlnd3-1651394, foregoing, BV |
THE HOLLAND INC./BURGERVILLE
HOURLY CREW EMPLOYMENT APPLICATION
EQUAL OPPORTUNITY EMPLOYER
■An Equal Opportunity Employer
We do not discriminate on the basis of race, religion, color, national origin, ancestry, sex, sexual orientation, age, physical or mental disability, marital status, gender identity, workers compensation or veteran status or any other reason prohibited by applicable nondiscrimination law. It is our intention that all applicants be given equal opportunity and that selection decisions are based on job related factors. Any person needing reasonable accommodation in the application process should contact Human Resources.
■Instructions
Each question should be fully and accurately answered. No action can be taken on this application until all questions have b een answered. Use blank paper if you do not have enough room.
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Are you 16 years of age or older? |
(Yes/No) |
Are you 18 years of age or older? |
(Yes/No) |
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How did you hear about career opportunities at The Holland/Burgerville?
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Came in as a guest |
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BV Website |
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What position are you applying for? |
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When would you be ready to start work?__________ |
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How many hours per week do you want to work? Minimum |
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Can you work days? (Yes/No) |
Nights? (Yes/No) |
Weekends? (Yes/No) |
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Show the hours each day that you are available to work: |
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Do you have reliable transportation? _______How long do you anticipate working here? __________
Do you have a food handler’s card? (Yes/No)
Would any of your previous employers refuse to hire you again? (Yes/No) |
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How often did you miss work with your past employers? Monthly: |
6+ times |
Have you ever quit a job without giving at least 2 weeks notice? (Yes/No)
If you are under age 18, do you have the approval of your parent or guardian to work here? (Yes/No)
Can you provide legal documentation establishing your identity and eligibility to be legally employed in the United States? (Yes/No)
During the past 7 years, have you ever been convicted of a crime, felony or misdemeanor, excluding minor
traffic violations? |
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If yes, explain. |
A conviction will not necessarily bar you from employment.
Why do you want to work for The Holland/Burgerville?
Personal References (Other than relatives): |
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EDUCATION |
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Last School Attended
Years Completed
Course of Study
GPA
Do you plan to continue your schooling? (Yes/No) When?
WORK EXPERIENCE
List the most recent first. Include
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Supervisor’s |
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Wages |
Reason for |
Location |
Name/Phone |
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Duties |
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Leaving |
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Initial and sign
_____ I certify that the answers given by me to the foregoing questions and during any interviews are true and correct without consequential
omissions, and understand that, if employed, omissions and/or false statements on this application or during the interview process may result in dismissal and forfeiture of related benefits. The employment application is used to notify me that the nature and scope of an investigation could include such general identification information as residence verification and as applicable, information concerning my employment, education, general reputation, character, personal characteristics and habits.
_____ I hereby acknowledge notification, in compliance with the Fair Credit Reporting Act, that The Holland, Inc. may request to procure information
regarding my character, general reputation, personal characteristics, or mode of living. Information developed from such a report will be considered in evaluating my employment application or continued employment. I authorize investigation of all information provided during the application process and any references to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release from all liability or responsibility this Company, its agents and all persons, companies or corporations providing information to the Company about me.
_____ I understand that my relationship with the company is at will and for an unspecified term and the company and I each have the right to
terminate the employment relationship at any time with or without cause. This
may be contingent upon the successful completion of a drug test and background check. I have had an opportunity to have my questions about this statement’s content and intent answered and understand its terms.
Signature of Applicant |
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Date |