SODEXO EMPLOYMENT APPLICATION APPLICATION FOR ...

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Applicant NotificationWork Opportunity Tax Credit ProgramThis employer is participating in the Work Opportunity Tax Credit program. This program is designed by thefederal government to help companies hire more people into the workforce and to retain employees through federalincentives.Your response to the questions below will help us determine if this employer qualifies for this program. Anyinformation you provide will be kept confidential and will not affect your job, wages, or taxes. Thank you in advancefor your time and participation. Check here if you received a conditional certification from the state workforce agency (SWA) or a participating local agency forthe work opportunity credit.any Check here if ofthe 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 Supplemental Nutrition Assistance Program (SNAP)benefits (food stamps) for at least a 3-month period during the past 15 months. I was referred herenotby a rehabilitation agency approved by the state, an employment network under the Ticket toWork program or the Department of Veteran Affairs. I am at least 18 but age 40 or older, and I am a member of a family that:buta. Received SNAP benefits (food stamps) for the past 6 months, orb. Received SNAP benefits (food stamps) for at least 3 of the 5 months, is no longer eligible toreceive 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. I am a veteran and I was unemployed for a period or periods totaling at least 4 weeks but less than 6months during the past year. Check here if you are a veteran and you were unemployed for a period or periods totaling at least 6 months during thepast year. Check here if you are a veteran entitled to compensation for a service-connected disability and you were discharged orreleased from active duty in the U.S. Armed Forces during the past year. Check here if you are a veteran entitled to compensation for a service-connected disability and you were unemployedfor a period or periods totaling at least 6 months during the past year.orCheck here if you are a member of a family that: Received TANF payments for at least the past 18 months,or and Received TANF payments for any 18 months beginning after August 5, 1997, the earliest 18-monthperiod beginning after August 5, 1997, ended during the past 2 years, Stopped being eligible for TANF payments during the past 2 years because federal or state law limited themaximum time those payments could be made.PleaseName:return this form to Human Resources along with your employment application.Date: _________________12
OUR GUIDING PRINCIPALS We want people to join Sodexo Health Care Services because they want to make apositive impact in people’s lives. We treat all patients, visitors and employees with compassion and empathy as ifthey were our own family members. We will thrive and differentiate ourselves by helping Manatee Memorial Hospitalcreate exceptional experiences for the patients, visitors and employees.We don’t see our jobs as just a series of tasks. We ask you to put your heart and mindinto your work and show patients and families that you truly care about them. No matterwhat your job is, you’re part of the healing process.Please tell us why you want to join our team and how you will add value to our patient’sexperience:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________State one thing that is an important aspect of customer service:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Name: ____________________________________*Failure to complete this document will affect yourchances of being considered for the position(s) available.
Page 1: www.sodexoUSA.comAPPLICATION FOR EM
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Page 10 and 11: TO:FROM:RE:All ApplicantsDonna Alle
Page 12: Para informacion en espanol, visite

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