Online Employment Application

APPLICATION FOR EMPLOYMENT

Name:
	Last	First	Middle

Present Address:

City:

State:

Zip:

Telephone#:

E-Mail Address:

Alternative Telephone#

EMPLOYMENT INTEREST

Date:

Position Applied For:

Earliest Date Available:

Salary Desired:

Location Desired:

Type of Employment Desired:	Management	Non-Management
Type of Employment Desired:	Full-time	Part-time	Temporary	On-call	Summer

How were you referred to Sodexho?

Web

Agency

School

Employee

Other

Please Specify Source:

Have you ever applied for work with or been employed by Sodexho Inc., Sodexho Marriott Services, Marriott Management Services, Sodexho USA or Wood Dining Services?

Yes

If yes, when and where:

If previously employed, please answer the following:

Supervisor's Name:

Title:

Phone#:

Reason for Leaving:

If applying for a management position, are you willing to relocate?

Yes

If yes, please specify where:

PERSONAL

Social Security#

For reference checking purposes, list all name(s) you have used or gone by in the past, if any, other than that listed above:

Are you over 18 years of age?

Yes

If no, give date of birth:

Have you ever been convicted of any felonies within the past seven (7) years? (Applicants need not disclose information pertaining to sealed or expunged conviction records.)

Yes

(A conviction will not necessarily disqualify you from employment with Sodexho.)

If yes, give date, nature and place of conviction(s):

Are there any restrictions on the hours or day you are able to work?

Yes

If yes, please explain:

Foreign Languages:		Read	Write	Speak
		Read	Write	Speak

EDUCATIONAL HISTORY

Type of School

Name and Address of School

Dates Attended
Start - End

Graduated

Type of Degree, Diploma or Certificate

Major/Minor/Field of Study

High School

Yes
No

Collegeor University

Yes
No

Other Education or Training

Yes
No

Academic Achievements or Activities: Please list academic honors, scholarships, or fellowships, memberships in academic honorary societies; or participation in or offices held in extracurricular activities you consider significant.

List current professional licenses, registration, and professional organizations or affiliates, if any.
(You must include license / registration numbers in specific states / jurisdictions where you may be licensed or registered.)

EMPLOYMENT EXPERIENCE

Please list your job history for the past six years (or last four employers), whichever list covers a longer period of time. Start with your present status and note any periods in which you were not employed. Include U.S. Military Service, previous Sodexho Inc., Sodexho Marriott Services, Marriott Management Services, Sodexho USA or Wood Dining Services experience, summer/part-time jobs, and cooperative education assignments. This information must be completed even if a resume is provided.

Company Name:	Date Started:	Date Left:	Starting Position:
Address:	Full Time	Part Time	Last Position:
Phone#	Starting Salary:	Final Salary:	Describe Major Duties:
Reason for leaving:
Name of Supervisor, Title, and Phone Number:		Additional References and Phone Number(s):

Company Name:	Date Started:	Date Left:	Starting Position:
Address:	Full Time	Part Time	Last Position:
Phone#	Starting Salary:	Final Salary:	Describe Major Duties:
Reason for leaving:
Name of Supervisor, Title, and Phone Number:		Additional References and Phone Number(s):

Company Name:	Date Started:	Date Left:	Starting Position:
Address:	Full Time	Part Time	Last Position:
Phone#	Starting Salary:	Final Salary:	Describe Major Duties:
Reason for leaving:
Name of Supervisor, Title, and Phone Number:		Additional References and Phone Number(s):

Do you have any objections to our contacting your present employer to verify the above?
No, you may contact anytime.
Do not contact now. You may contact at a later date. (Please specify, e.g. after acceptance of offer or a specific date, if appropriate.)
Have you ever been dismissed or forced to resign from employment? Yes No
If yes, please explain:

PROFESSIONAL OR PERSONAL REFERENCES

Name

Years Known

Occupation

Complete Address

Telephone

Are any of your professional references associated with your current employer? If yes, do you have any objection to our contacting that individual whose name you gave?
No, you may contact anytime.
Do not contact now. You may contact at a later date. (Please specify, e.g. after acceptance of offer or a specific date, if appropriate.)

OTHER RELEVANT INFORMATION

Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, activities, accomplishments, etc.

PLEASE READ THE FOLLOWING AGREEMENT CAREFULLY

EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER

Sodexho does not discriminate in hiring or employment on the basis of race, color, religion, national origin, sex, age, disability, veteran status or on any other basis protected by law. If needed, reasonable accommodations for the hiring process will be made.

VOLUNTARY SELF-IDENTIFICATION FORM

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment or impact any Sodexho employment decisions.

As a government contractor, Sodexho is subject to governmental recordkeeping and reporting requirements to comply with federal and state laws and regulations. Required reporting includes statistical accounting of Sodexho’s employment applicants with regard to sex, race and ethnic identification. Therefore, Sodexho requests that you voluntarily self-identify as requested below.
The information you provide will be used exclusively for purposes consistent with applicable laws
and regulations.

Name:
Initials:	I do not wish to submit this information at this time
Sex:	Male Female

RACE/ ETHNIC IDENTIFICATION – PLEASE MARK ONLY ONE BELOW:

	Hispanic or Latino: A persons of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
	American Indian or Alaska Native (Not Hispanic or Latino): A persons having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
	Asian (Not Hispanic or Latino): A person having origin in any of the original peoples of the Far East, South east Asia, or the Indian Subcontinent, including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
	Black or African American (Not Hispanic or Latino): A person having origins in any of the black racial groups of Africa.
	Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
	White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East or North Africa.
	Two or More Races (Not Hispanic or Latino): All persons who identify with more than one of the five races.

If you have any questions regarding completion of this form, please speak to the Unit Manager or Human Resources representative.

AUTHORIZATION AND RELEASE

The information that I have provided is accurate to the best of my knowledge and subject to validation by Sodexho. I understand and agree that any misrepresentation or omission of a fact in my application may be justification for not being hired or, if hired, termination of any employment with Sodexho.
I understand that an offer of employment and my continued employment with Sodexho are contingent upon satisfactory proof of my authorization to work in the United States. I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between myself and Sodexho for either employment or for the providing of any benefit. No promises regarding continued employment have been made to me, and I understand that no such promise or guarantee is binding upon Sodexho unless made in writing. I understand that my employment is terminable at-will, and that either I or my employer may terminate my employment at any time, with or without, cause, for any or no reason, and that I am not being employed for any specific term.

I understand that business needs at times make conditions such as the following mandatory: overtime, shift work, and rotating work schedules. I understand and accept these conditions of my employment.

I understand that under Sodexho policy and applicable law, applicants will not be asked to take a lie detector or polygraph test.

I authorize a thorough investigation of my educational background, past employment and activities that may relate in any way to my potential fitness for employment
with Sodexho.

I authorize schools and prior employers to provide any information they have concerning me to Sodexho, and I hereby hold harmless Sodexho and all those providing information from any liability that may arise out of or result from the provision or use of such information.

I understand that I may be required to take and pass a drug test as a condition of being hired at or transferred to a Sodexho location

I have read and understand the above statement.

Written Disclosure and Authorization For Back Background Investigation

I understand that Sodexo will utilize the services ofUSA-FAcr, Inc., 6200 Box Springs Blvd, Riverside, CA 95207 (800-547-0263),to obtain a consumer report/investigative consumer report as pan of the procedure for processing my application for employment or other employment-related purposes, such as promotion, reassignment or retention. I understand that such report may include information and records relating to my: criminal conviction history (consistent with federal and state law), illegal drug use, civil court records, employment verification and references, education verification, social security number, professional license verification, past addresses, driving record, and personal references, and may include an HHS OIG or OFAC exclusion check.

I understand such information may be obtained by any means, including but not limited to personal interviews with persons who mayhave knowledge concerning my character, general reputation, personal characteristics or mode of living. I understand such information may also be obtained through direct or indirect contact with former employers, schools, and public agencies or other persons who may have such knowledge. I understand that credit header information may be accessed; however, my full credit reportwill not be accessed unless I provide Sodexo an additional, separate authorization. This access will not affect my F.I.C.O. score.

I understand that any background investigation will be down in accordance with the Fair Credit Reporting Act CFCRA") and any applicable state law and acknowledge receipt of a copy of the document entitled "A Summary of Your Rights Under the Fair Credit Reporting Act:' If the position to which I have applied is located in New York, [ acknowledge that I have received a copy of New York Correction Law Article 23-A.

I also understand that before Sodexo takes any adverse employment action based, in whole or part, on information obtained in the consumer report/investigative consumer report, I will be provided a copy of the report and a description in writing ofmy rights under theFCRA.

I agree that ifI am hired, Sodexo may rely on this authorization to obtain further information during the course ofmy employment through subsequent investigations by a consumer reporting agency, to the extent permitted by law.

I hereby consent to this investigation and authorize Sodexo to procure a consumer report and/or investigative consumer on my background as stated above from USA~FAcr.-1 understand that ifI refuse to provide any information requested on the following page(s), or provide false information, I will not be hired, or if employed, I may be terminated from employment.

For Colifomia Applicants Only: I understand I have the right to inspect visually the files concerning me maintained by an investigative consumer eredit reporting agency during normal business hours and upon reasonable notice. The inspection can be done in person if I appear in person and furnish proper identification; I am entitled to a copy of the file for a fee not to exceed the actual costs of duplication. I am entitled to be accompanied by one person of my choosing, who shall furnish reasonable identification. The inspection can also be done via certified mail if I make a written request, with proper identification, for copies to be sent to a specified addressee. I can also request a summary of the information to be provided by telephone if I make a written request, with proper identification for telephone disclosure, and the toll charge, if any, for the telephone call is prepaid by or directly charged to me. I further understand that the investigative consumer credit reporting agency shall provide trained personnel to explain to me any of the information furnished to me; I shall receive from the investigative consumer reporting agency a written explanation of any coded information contained in files maintained on me. "Proper identification" as used in this paragraph means information generally deemed sufficient to identify a person, including documents such as a valid driver's license, social security account number, military identification card and credit cards.

By typing in your name you indicate that you have read and understand the above terms and conditions.

A Summary of Your Rights Under The Fair Credit Reporting Act

The federal Fair Credit Reporting Ad (FeRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell infofmation about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA For more Information, including Information about additional rights, go to www.ftc.gov/credit orwrite to: Consumer Response Center. Room 13O-A,. Federal Trade Commission, 600 Pennsylvania Ave. N.W.• Washington, D.C. 20580.

• You must be told if information In your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment - or to take another adverse action against you - must tell you, and must give you the name, address, and phone number of the agency that prOVided the information.

• You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your ' flle dlsclosure' ). You wi ll be requ ired to prcvlde proper identification , which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: '
        o a person has taken adverse action against you because of information in your credit report;
        o you are the victim of identify theft and place a fraud alert in your file;
        o your file contains inaccurate information as a result of fraud;
        o you are on public assistance;
        c you are unemployed but expect to apply for employment within 60 days.

In addition, by september 2005 aUconsumers will be entitled to one free disclosure every 12 upon request from each nationwide credit bureau and from natiOnwide speciatty consumer reporting agencies. See www.ftc.gov/credit fOr additional information.

• You neve the right to ask for a credit score. Credit scores are numetical sumrnartes of your a edit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to payfor il ln some mortgage transact ions, you will receive credit score information for free f rom the mortgage lender.

• You have the right to dispute Incomplete or Inaccurate Information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.ftc.gov/credit for an explanation of dispute procedures.

• Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifaable information. Inaccurate, incomplete or unverifiable information must be removed or corrected. usually 'Within 3D days. However, a consumer reporting 'agency may continue to report information it has verified as accurate.

• Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old.

• Access to your file Is limited. A consumer reporting agency may provide information about you only to people with a valid need - usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access.

• You must give your consent tor reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.ftc.gov/credit

• You may limit "prescreened" offers of credit and Insurance you get based on Information in your credit report Unsolicited "prescreened" offers for credit and insurance must ind ude a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationWide credit bureaus at 1-888-5-0PTOUT (1-888-567.8688).

• You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a fumisher of information to a consumer reporting agency violates the FCRA. you may be able to sue in state or federal court.

• Identity theft victims and active duty military personnel have additional rights. For more information, visit www.ftc.gov/credit

states may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights understate law. For more information, contact your state or local consumer protection agency or your state Attorney General. Federal enforcers are:

TYPE OF BUSINESS	CONTACT:
Consumer reporting agencies, creditors and others not listed below	Federal Trade Commission: Consumer Response Center -FCRA Washington DC 20080 1-877-382-4357
National Bank, federal branches/agencies of foreign banks (word) "National or initials "N.A." appear in or after bank's name	Office of the Comptroller of the Currency Compliance Management, Mail Stop 6-6 Washington, DC 20219 800-613-6743
Federal Reserve System member banks (except national banks, and federal branches/agencies of foreign banks)	Federal Reserve Board, Division of Consumer & Community Affairs Washington, DC 20551 202-452-3693
Savings associations and federally chartered savings banks (word federal or initals "F.S.B" appear in federal institution's name)	Office of Thrift Supervision, Consumer Complaints Washington, DC 20552 800-842-6929
Federak credut unions (words "Federal Credit Union" appear in institutions name)	National Credit Union Administration 1775 Duke Street Alexandria, VA 22314 703-519-4600
State-Charted banks that are not members of the Federal Reserve System	Federal Deposite Insurance Corporations Consumer Response Center, 2345 Grand Avenue, Suite 100 Kansas City, Missouri 64108-2638 1-877-275-3342
Air, surfacem or Rail common carriers regulated by former Civil Aeronautics Board or Interstae Commerce Commission	Department of Transportation, Office of Financial Management Washingtion, DC 20590 202-366-1306
Activies subject to the packers and stockyards Act 1921	Department of Agriculture, Office of Deputy Administrator-GIPSA Washington, DC 20250 202-720-7051