Carol Widman’s Candy®

Fields marked (*) are required.

Personal Information

1. First name *
2. Middle initial *
3. Last name *
4. Present address *
5. City *
6. State * Please select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington State West Virginia Wisconsin Wyoming
7. ZIP code *
8. Is your present address the same as your permanent address? *

   Yes No

9. Please enter your permanent address.

   1. Permanent address *
   2. City *
   3. State * Please select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington State West Virginia Wisconsin Wyoming
   4. ZIP code *
10. E-mail *
11. Phone (with area code) *
12. Preferred method of contact

    Email Phone
13. Referred by

Employment Desired

1. Position *

   Sales and packaging Chocolate dipping
2. Date you can start (mm/dd/yyyy) *
3. Are you currently employed? *

   Yes No
4. 1. If yes, may we contact your current employer? *

      Yes No
5. Days you are available *

   Monday Tuesday Wednesday Thursday Friday Saturday Sunday
6. 1. Hours available Monday
   2. Hours available Tuesday
   3. Hours available Wednesday
   4. Hours available Thursday
   5. Hours available Friday
   6. Hours available Saturday
   7. Hours available Sunday

Education History

1. Select your level of education *

   High school Trade, business, or correspondence school College
2. 1. High school
   2. Years attended
   3. Did you graduate? *

      Yes No
3. 1. Trade, business, or correspondence school
   2. Years attended
   3. Did you graduate? *

      Yes No
4. 1. College
   2. Years attended
   3. Did you graduate? *

      Yes No

Employment History

Enter your most recent employer first.

1. How many previous employers are you able to enter? *

   None One Two Three
2. 1. Company name 01 *
   2. Address *
   3. City *
   4. State * Please select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington State West Virginia Wisconsin Wyoming
   5. ZIP code *
   6. Phone (with area code) *
   7. Start date (mm/dd/yyyy) *
   8. End date (mm/dd/yyyy) *
   9. Position *
   10. Salary *
   11. Reason for leaving *
3. 1. Company name 02 *
   2. Address *
   3. City *
   4. State * Please select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington State West Virginia Wisconsin Wyoming
   5. ZIP code *
   6. Phone (with area code) *
   7. Start date (mm/dd/yyyy) *
   8. End date (mm/dd/yyyy) *
   9. Position *
   10. Salary *
   11. Reason for leaving *
4. 1. Company name 03 *
   2. Address *
   3. City *
   4. State * Please select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington State West Virginia Wisconsin Wyoming
   5. ZIP code *
   6. Phone (with area code) *
   7. Start date (mm/dd/yyyy) *
   8. End date (mm/dd/yyyy) *
   9. Position *
   10. Salary *
   11. Reason for leaving *

NOTE: Please select the “Submit” button only once, then wait for the delivery notice to appear. Selecting it more than once may send multiple submissions.