APPLICATION FOR EMPLOYMENT NAME POSITION APPLIED FOR APPLICATION DATE EARLIEST DATE AVAILABLE MINIMUM SALARY REQUIRED INTERVIEWED BY RECOMMENDED BY DATE DATE AN EQUAL EMPLOYMENT/AFFIRMATIVE ACTION EMPLOYER M/F/D/V Indicate Division of Compass Group USA, Inc. for which you are applying: Bateman Chartwells Canteen Correctional Services Canteen Vending Services Compass Group USA (Corporate Office) Eurest Dining Services FLIK International Foodbuy Morrison SHRM Catering Service Other (Please List) (Note to Interviewer: This application form should be kept free of any notes, comments or markings concerning the applicant.) FORM JULY NO. 2009001690 (REV. 5/02)
ARE YOU AVAILABLE TO WORK? LIST THE DAYS YOU ARE AVAILABLE TO WORK
VOLUNTARY SUPPLEMENT TO EMPLOYMENT APPLICATION The information requested below is used by Compass Group only to maintain records required by employers doing business with the Federal Government. YOU DO NOT HAVE TO ANSWER THESE QUESTIONS TO BE CONSIDERED FOR EMPLOYMENT WITH COMPASS GROUP. If you do choose to answer these questions, any information supplied by you on this voluntary supplement will not affect your employment opportunities with Compass Group, which is an equal employment opportunity employer. Date of Application: Name: Unit: Job for which you are applying: Are you Hispanic or Latino? Yes No ***IF YOU ANSWERED YES, DO NOT COMPLETE THE RACE SECTION Race: White Black or African American Native Hawaiian / Other Pacific Islander American Indian or Alaska Native Asian Two or More Races Sex: Male Female Veteran Status: Recently Separated Veteran Disabled Veteran Armed Forces Service Medal Veteran Other Protected Veteran How did you hear about this position? 1. Agency (Name): 2. Internet (Site name): 3. Newspaper Ad: (Newspaper Name) 4. Career Fair (Fair Name) 5. Friend: 6. Walk-In: 7. Employee (Name): 8. Other: THIS INFORMATION WILL BE KEPT SEPARATE FROM YOUR APPLICATION AND WILL NOT BE USED IN MAKING HIRING DECISIONS. Voluntary Supplement 12 11 07
SUPLEMENTO VOLUNTARIO AL SOLICITUD DE EMPLEO La información solicitada a continuación se la utiliza Compass Group solamente para mantener los documentos requeridos de los empleadores que hacen negocios con el gobierno federal. USTED NO TIENE QUE CONTESTAR ESTAS PREGUNTAS PARA SER CONSIDERADO PARA EL EMPLEO CON COMPASS GROUP. Si usted elige contestar estas preguntas, cualquier información que le provee en este suplemento voluntario no afectará sus oportunidades de empleo con Compass Group, que es un empleador de igualdad de oportunidades de empleo. Fecha de solicitud: Nombre: Unidad: Puesto al cual usted está solicitando: Es usted hispano o latino? Sí No ***SI SU RESPUESTA ES SÍ, NO COMPLETE LA SECCIÓN DE RAZA Raza: blanco negro or afroamericano hawaiano nativo / otro isleño del pacífico indio americano o nativo de Alaska asiático dos o más razas Sexo: varón hembra Estado de veterano: veterano recientemente retirado veterano incapacitado veterano de las Fuerzas Armadas con medallas por servicio otro veterano protegido Cómo se enteró de esta posición? 1. Agencia (nombre): 2. Internet (nombre del sitio): 3. Anuncio en un periódico (nombre): 4. Feria de empleo (nombre): 5. Amigo: 6. Solicitud sin cita previa: 7. Asociado (nombre): 8. Otro: ESTA INFORMACIÓN SE LA MANTIENE SEPARADA DE SU SOLICITUD Y NO SERÁ USADO PARA HACER DECISIONES EN CUANTO A LA CONTRATACIÓN. Voluntary Supplement 12 11 07
WOTC Instructions Before the Call: te This employer is participating in the Work Opportunity Tax Credit program. All information you provide will be kept This employer confi dential is participating and will not affect in the your Work job, Opportunity wages, or Tax taxes Credit in any program. way. All information you provide will be kept confi dential and will not affect your job, wages, or taxes in any way. 1. Please have pen available. 1. Please have a pen available. 2. Read and complete the attached Form 8850. 2. Read and complete the attached Form 8850. 3. Call toll-free (800) 524-4414. You will be prompted to 3. Call provide toll-free some 1 basic (800) information 524-4414. during You will the be brief prompted survey. to provide some basic information during the brief survey. After the Call: Complete the section below as instructed by the Ernst Young Complete the section below as instructed by the Ernst & Young representative. representative. Your Name Your Name Circle A or B Circle A or B A Your employer is potentially eligible for the tax credit. Please complete the following steps: Your employer is potentially eligible for the tax credit. Please complete the following steps: 1. Complete Form 8850, Release Notice and W-4 and return them to Ernst Young immediately 1. Complete Form 8850, Release Notice and W-4 and return them to Ernst & Young immediately. 2. Documentation required (complete only if instructed by representative) 2. Documentation required (complete only if instructed by representative) B Employer is not eligible for the tax credit. No further action is necessary. Employer is not eligible for the tax credit. No further action is necessary. Your confirmation number is: Your confirmation number is: Please retain your confi rmation number as you may be asked to provide this. Please retain your confi rmation number as you may be asked to provide this. To Unit/Location Manager: If Box A is circled, ALWAYS send the completed WOTC Forms immediately to Ernst Young. To Unit/Location Manager: If Box A is circled, ALWAYS send the completed WOTC Forms immediately to Ernst & Young. Please see reverse side Please see reverse side Ernst Young LLP 1201 Main Street, Suite 2000 Phone: (800) 524-4414 Ernst & Young LLP Dallas, 1201 Main TX 75202 Street, Suite 2000 Phone: 1 (800) 524-4414 Attn.: Dallas, WOTC TX 75202 Processing Center Attn.: WOTC Processing Center Ver Jan 07 206 Ver Jan 07 206
W-4 WOTC Instructions te Only complete this form if instructed by the Ernst & Young representative. The W-4 form below is used for documentation This employer purposes is participating for the Work in the Opportunity Work Opportunity Tax Credit Tax program Credit program. only. Completing All information this W-4 you will provide not affect will be your job, kept wages confi dential or taxes. and Thank will not you affect for your your participation. job, wages, or taxes in any way. Before the Call: W-4 1. Please have a pen available. Employee s Withholding 2. Read and Allowance complete the Certificate attached Form 8850. 3. Call toll-free 1 (800) 524-4414. You will be prompted to provide some basic information during the brief survey. OMB No. 1545-0074 Form Department of the Treasury Whether you are entitled to claim a certain number of allowances or exemption from withholding is 08 Internal Revenue Service subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS. 1 Type or print your first name and middle initial. Last name 2 Your social security number Home address (number and street or rural route) 3 Single Married Married, but withhold at higher Single rate. Note. If married, but legally separated, or spouse is a nonresident alien, check the Single box. City or town, state, and ZIP code 4 If your last name differs from that shown on your social security card, check here. You must call 1-800-772-1213 for a replacement card. 5 Total number of allowances you are claiming (from line Complete H above or the from section the applicable below worksheet as instructed on page by 2) the Ernst 5 & Young 6 Additional amount, if any, you want withheld from each paycheck 6 $ representative. 7 I claim exemption from withholding for 2008, and I certify that I meet both of the following conditions for exemption. After the Call: Last year I had a right to a refund of all federal income tax withheld because I had no tax liability and This year I expect a refund of all federal income tax withheld because I expect to have no tax liability. If you meet both conditions, write Exempt here 7 Under penalties of perjury, I declare that I have examined this certificate and to the best of my knowledge and belief, it is true, correct, and complete. Employee s signature (Form is not valid unless Your you Name sign it.) Date Circle 8 A Employer s or B name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) 9 Office code (optional) 10 Employer identification number (EIN) A Your employer is potentially eligible for the tax credit. Please complete the following steps: 1. Complete Form 8850, Release Notice and W-4 and return them to Ernst & Young immediately. Date of Birth: 2. Documentation required (complete only if instructed by representative) For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 10220Q Form W-4 (2008) B Employer is not eligible for the tax credit. No further action is necessary. Your confirmation number is: Please retain your confi rmation number as you may be asked to provide this. To Unit/Location Manager: If Box A is circled, ALWAYS send the completed WOTC Forms immediately to Ernst & Young. Please see reverse side Ernst & Young LLP 1201 Main Street, Suite 2000 Phone: 1 (800) 524-4414 Dallas, TX 75202 Attn.: WOTC Processing Center Please mail this form to Ernst & Young in the enclosed postage paid envelope. 206 Ver Jan 07 206
Release Notice WOTC Instructions I authorize the Social Security Administration, Department of Social Services, Military Records, I authorize the Social Security Administration, Department of Social Services, Military Records, Vocational Rehabilitation, Veterans Administration, Department of Corrections, Department of Defense, Vocational Rehabilitation, Veterans Administration, Department of Corrections, Department of Defense, National This employer Guard, is participating California Employment in the Work Opportunity Development Tax Department, Credit program. or applicable All information Indian you Tribe provide to provide will be the National Guard, California Employment Development Department, or applicable Indian Tribe to provide the verification kept confi dential of information and will not requested affect your by job, Ernst wages, & Young or taxes and in any release way. of information from those entities as verification of information requested by Ernst Young and release of information from those entities as requested. This information will be used for the sole purpose of determining eligibility, qualification and requested. This information will be used for the sole purpose of determining eligibility, qualification and participation in Federal and State Tax Credits, 1. including Please have the Work a pen Opportunity available. Tax Credit Program. participation Before in Federal the and Call: State Tax Credits, including the Work Opportunity Tax Credit Program. 2. Read and complete the attached Form 8850. IMPORTANT: Please complete EVERY 3. Call ITEM toll-free below, 1 (800) if 524-4414. applicable. You will be prompted to IMPORTANT: Please complete EVERY provide ITEM some below, basic if information applicable. during the brief survey. Name: Social Security Number: Name: Social Security Number: Name of main recipient (or former recipient), Name of main recipient (or former recipient), Complete the section below as instructed by the Ernst & Young Who received or is receiving the TANF/AFDC or Food Stamps: Who received or is receiving the TANF/AFDC or representative. Food Stamps: After the Call: Name of Case Worker/Vocational Counselor/Correctional Officer: Name of Case Worker/Vocational Counselor/Correctional Officer: Telephone Your NameNumber of Case Worker/Vocational Counselor/Correctional Officer: Telephone Number of Case Worker/Vocational Counselor/Correctional Officer: Circle A or B A Agency Name Agency Name Your employer & Address: Address: is potentially eligible for the tax credit. Please complete the following steps: 1. Complete Form 8850, Release Notice and W-4 and return them to Ernst & Young immediately. 2. Documentation required (complete only if instructed by representative) Agency City, State, ZIP: Case Number: Agency City, State, ZIP: Case Number: B City & County Employer where is not benefits eligible received: for the tax credit. No further State action where is necessary. benefits received: City County where benefits received: State where benefits received: Signature: Signature: Your confirmation number is: Date: Date: te Please mail this form to Ernst & Young in the enclosed postage paid envelope. Please mail this form to Ernst Young in the enclosed postage paid envelope. To Unit/Location Manager: If Box A Please retain your confi rmation number as you may be asked to provide this. is circled, ALWAYS send the completed WOTC Forms immediately to Ernst & Young. WOTC Processing Center 1201 Main Please WOTC St., #2000 see Processing reverse Dallas, Center side TX 75202 1201 Main Phone: St., #2000 1 (800) Dallas, 524-4414 TX 75202 Phone: 1 (800) 524-4414 Ernst & Young LLP 1201 Main Street, Suite 2000 Phone: 1 (800) 524-4414 Dallas, TX 75202 Attn.: WOTC Processing Center Ver Jan 07 206 206 206
Form 8850 (Rev. June 2007) Department of the Treasury Internal Revenue Service Pre-Screening Notice and Certification Request for the Work Opportunity Credit See separate instructions. OMB No. 1545-1500 Job applicant: Fill in the lines below and check any boxes that apply. Complete only this side. Your name Social security number Street address where you live City or town, state, and ZIP code Telephone number ( ) - If you are under age 40, enter your date of birth (month, day, year) / / 1 Check here if you are completing this form before August 28, 2007, and you lived in the area impacted by Hurricane Katrina on August 28, 2005. If so, please enter the address, including county or parish and state where you lived at that time. 2 3 4 5 Check here if you received a conditional certification from the state workforce agency (SWA) or a participating local agency for the work opportunity credit. Check here if any of the following statements apply to you. I am a member of a family that has received assistance from Temporary Assistance for Needy Families (TANF) for any 9 months during the past 18 months. I am a veteran and a member of a family that received food stamps for at least a 3-month period during the past 15 months. I was referred here by a rehabilitation agency approved by the state, an employment network under the Ticket to Work program, or the Department of Veterans Affairs. I am at least age 18 but not age 40 or older and I am a member of a family that: a Received food stamps for the past 6 months, or b Received food stamps for at least 3 of the past 5 months, but is no longer eligible to receive them. During the past year, I was convicted of a felony or released from prison for a felony. I received supplemental security income (SSI) benefits for any month ending during the past 60 days. Check here if you are a veteran entitled to compensation for a service-connected disability and, during the past year, you were: Discharged or released from active duty in the U.S. Armed Forces, or Unemployed for a period or periods totaling at least 6 months. Check here if you are a member of a family that: Received TANF payments for at least the past 18 months, or Received TANF payments for any 18 months beginning after August 5, 1997, and the earliest 18-month period beginning after August 5, 1997, ended during the past 2 years, or Stopped being eligible for TANF payments during the past 2 years because federal or state law limited the maximum time those payments could be made. Under penalties of perjury, I declare that I gave the above information to the employer on or before the day I was offered a job, and it is, to the best of my knowledge, true, correct, and complete. Job applicant s signature For Privacy Act and Paperwork Reduction Act Notice, see page 2. Signature All Applicants Must Sign Cat. No. 22851L Date / / Form 8850 (Rev. 6-07) Please mail this form to Ernst & Young in the enclosed postage paid envelope 206
This completed form shall be maintained in the associate s personnel file.
TELEPHONE REFERENCE CHECK Applicant s Name: Position Applied For: Previous Employer Contacted: Telephone #:( ) - Person Contacted: Position: Dates of Employment: 1 From: To: Position Held: Primary Duties: 2 Classification of Termination: Voluntary Involuntary Reason: 3 How did he/she get along with his/her co-workers? 4 5 6 7 8 9 Date: How did he/she get along with those who supervised his/her work? Did he/she supervise the work of others? What was the scope of his/her supervision? What did you feel were his/her strong points? What did you feel were his/her weak points? Assuming that he/she were to re-apply for his/her former position, would you rehire him/her? Yes No Why Not? Would you consider rehiring him/her in another capacity? Yes No In what capacity? Reference Checked By:
TELEPHONE REFERENCE CHECK Applicant s Name: Position Applied For: Previous Employer Contacted: Telephone #:( ) - Person Contacted: Position: Dates of Employment: 1 From: To: Position Held: Primary Duties: 2 Classification of Termination: Voluntary Involuntary Reason: 3 How did he/she get along with his/her co-workers? 4 5 6 7 8 9 Date: How did he/she get along with those who supervised his/her work? Did he/she supervise the work of others? What was the scope of his/her supervision? What did you feel were his/her strong points? What did you feel were his/her weak points? Assuming that he/she were to re-apply for his/her former position, would you rehire him/her? Yes No Why Not? Would you consider rehiring him/her in another capacity? Yes No In what capacity? Reference Checked By:
I understand that: PLEASE READ VERY CAREFULLY BEFORE SIGNING BELOW The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any facts in my application, resume and any other materials or during any interviews, can be justification for refusal of employment or, if employed, termination from the Company. I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information. I authorize Compass Group USA, Inc. to use any lawful method, in its sole discretion, it deems reasonable and necessary to determine whether an officer, employee or agent or potential officer, employee or agent has engaged in conduct that would interfere with or adversely affect the business interests of Compass Group USA, Inc., or to determine whether any officer, employee or agent has engaged in conduct warranting disciplinary action. Such investigation may include, but may not be limited to, safety related inquiries, arrest and criminal record inquiries, financial disclosure, finger printing and credit history inquiries. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the company and understand that my employment and compensation can be terminated with or without cause or notice, at any time, at the option of either the company or myself. I further understand that no manager or representative of the company, other than the President has any authority to enter into any agreement with me for employment for any specified period of time or to make any agreement different from or contrary to any company policy. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and by one of the individuals designated above. Signature Date Item Number 348034002