"*" indicates required fields Name* First Middle Last Present Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*MessageEmployment Desired* Full Time Part Time Times you can work* Day Shift Evening Shift Night Shift Position applying for*Date Available* MM slash DD slash YYYY Where did you hear about this position?* Albuquerque Journal Other Newspaper Bueno Foods Website On-Line Job Search Engine Department of Labor Placement Center Walk-In Referred by Bueno Employee Other Which employee referred you?Are you currently employed?* Yes No May we contact your present employer?* Yes No EducationInclude Name, Address & Location of SchoolHigh School or GED*Highest Grade Completed*Did You Graduate?* Yes No Date of Graduation* MM slash DD slash YYYY College/UniversityHighest Grade CompletedDid You Graduate? Yes No Date of Graduation MM slash DD slash YYYY Additional Educational, Vocational and/or Technical TrainingSchoolCourses/Areas of StudyCompleted?Date Completed Add RemoveHave you been previously employed by Bueno Foods?* Yes No If yes, when?Have you previously applied for positions at Bueno Foods?* Yes No If yes, when?Have you ever been fired from a job or asked to resign?* Yes No If yes, please explainThis field is hidden when viewing the formIf yes, please explainFor Driving Jobs OnlyDo you have a valid driver's license? Yes No Driver's License NumberClass of LicenseHave you had your driver's license suspended or revoked in the last 3 years? Yes No Do you have any relatives who work for or have worked for Bueno Foods?* Yes No If yes, who?Work HistoryList below last three employers, starting with the most recentNameAddressPhoneName of Last SupervisorEmployed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Pay StartPay EndJob TitleDutiesReason of LeavingNameAddressPhoneName of Last SupervisorEmployed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Pay StartPay EndJob TitleDutiesReason of LeavingNameAddressPhoneName of Last SupervisorEmployed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY Pay StartPay EndJob TitleDutiesReason of LeavingIt is the policy of Bueno Foods as an Equal Employment Opportunity (EEO) Employer to recruit and hire individuals without regard to: race, color, national origin, sex, religion, age, disability, serious medical conditions, veteran status, sexual orientation, gender identity, spousal affiliation, or any other status protected by law.AFFIDAVIT* AFFIDAVIT*I hereby authorize Bueno Foods to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind whatsoever. I agree that the company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. I also authorize the companies, schools or persons named above to give any information regarding my employment, character and qualifications. I hereby release said companies, schools or persons from all liability for any damage for issuing this information. I understand that any misleading or incorrect statements may render this application void, and if employed, would be cause for termination. I understand that there is no express or implied contract of employment and that if employed I have been hired at the will of the employer and that my employment may be terminated at will, at any time; and with or without cause the employer's only obligation being to pay salary or wages due and owing at the time of the termination. Finally, I understand that all company property must be returned and my indebtedness to the company must be paid before my termination. I authorize the company to deduct from my final paycheck(s) all monies due and owing to the company. Click here to fill out the EEO Form, and return here to submit your application. COMPLETION OF THIS FORM IS VOLUNTARY AND IN NO WAY AFFECTS THE DECISION REGARDING YOUR APPLICATION FOR EMPLOYMENT. THIS FORM IS CONFIDENTIAL AND WILL BE MAINTAINED SEPARATELY FROM YOUR APPLICATION FORM.This field is hidden when viewing the formAuthorization* I hereby authorize Bueno Foods to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. I certify that the answers given by me to the foregoing questions and statements are true and correct without consequential omissions of any kind whatsoever. I agree that the company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. I also authorize the companies, schools or persons named above to give any information regarding my employment, character and qualifications. I hereby release said companies, schools or persons from all liability for any damage for issuing this information. I understand that any misleading or incorrect statements may render this application void, and if employed, would be cause for termination. I understand that there is no express or implied contract of employment and that if employed I have been hired at the will of the employer and that my employment may be terminated at will, at any time; and with or without cause the employer's only obligation being to pay salary or wages due and owing at the time of the termination. Finally, I understand that all company property must be returned and my indebtedness to the company must be paid before my termination. I authorize the company to deduct from my final paycheck(s) all monies due and owing to the company. Click here to fill out the EEO Form, and return here to submit your application. COMPLETION OF THIS FORM IS VOLUNTARY AND IN NO WAY AFFECTS THE DECISION REGARDING YOUR APPLICATION FOR EMPLOYMENT. THIS FORM IS CONFIDENTIAL AND WILL BE MAINTAINED SEPARATELY FROM YOUR APPLICATION FORM. Electronic Signature*Date* MM slash DD slash YYYY Upload a ResumeMax. file size: 50 MB.EmailThis field is for validation purposes and should be left unchanged.
