Employment Application

Employment Experience

Most Recent Employer
Second Most Recent Employer
Third Most Recent Employer


High School


Criminal History

Criminal convictions or charges will be considered only in relation to the job for which you apply. A convition or pending criminal charge may or may not disqualify you.




APPLICANT'S STATEMENT (Applicant must review and sign below.)

I understand that this application form is intended for use in evaluating my qualifications for employment and that this application is not an offer of employment. I further understand that if hired, my employment will be considered “at-will” and that my employment may be terminated for any reason, with or without cause or notice, at any time by the Houston Food Bank and that this application is not intended to constitute a contract of continued employment.

I certify that the information submitted by me on this application is true and complete. I understand that any false information, misrepresentations or omissions on this application, on other written materials, or provided during any interviews will lead to the rejection of my application or, if I am employed, discipline up to and including termination at the time such false information or omission is discovered.

I understand that additional testing of job-related skills and for the presence of drugs may be required prior to employment. I also understand that after an offer of employment and prior to reporting to work, I may be required to submit to a medical review and depending on Houston Food Bank policy and the needs of the job, I may be required to complete a medical history form and be examined by a medical professional designated by the company.

I also understand that I may not be under the influence of drugs or alcohol during employment and that if Houston Food Bank policy so requires, I may be required to submit to drug and/or alcohol testing at an approved testing facility.

I authorize the Houston Food Bank and/or its agents, including consumer reporting bureaus, to investigate and verify any of the information provided by me. I authorize my former employers, educational institutions, references and any relevant agencies to provide information to the Houston Food Bank and/or its agents concerning my background and experience. I release the Houston Food Bank and all parties providing information to the Houston Food Bank about my background and experience from any liability whatsoever arising there from.

I understand that I am required to abide by all rules and regulations of the Houston Food Bank, and acknowledge that these policies and procedures, and any benefits or other terms and conditions of my employment, may be changed at the sole discretion of the Houston Food Bank at any time without prior notice to me.


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