APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT

NAME

POSITION APPLIED FOR

APPLICATION DATE

EARLIEST DATE AVAILABLE

MINIMUM SALARY REQUIRED

E

T

A

D

Y

B

D

E

W

E

I

V

R

E

T

N

I

RECOMMENDED BY

DATE

AN EQUAL EMPLOYMENT/AFFIRMATIVE ACTION EMPLOYER M/F/D/V

Indicate Division of Compass Group USA, Inc. for which you are applying:

(Note to Interviewer: This application form should be kept free of any notes, comments or markings concerning the applicant.) FORM NO. 001690 (REV. 5/02)

 Bateman

 Chartwells

 Canteen Correctional Services  Canteen Vending Services

 Compass Group USA (Corporate Office)  Eurest Dining Services

 FLIK International

 SHRM Catering Service

 Other (Please List)

 Morrison

 Foodbuy

ARE YOU AVAILABLE TO WORK?

Voluntary Supplement 12 11 07

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):

____________________________________

____________________________________

_______________________________

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):

____________________________________

____________________________________

____________________________________

5. Amigo:

____________________________________

6. Solicitud sin cita previa:

____________________________________

____________________________________

8. Otro:

____________________________________

ESTA INFORMACIÓN SE LA MANTIENE SEPARADA DE SU SOLICITUD Y NO SERÁ USADO PARA HACER DECISIONES EN CUANTO A LA CONTRATACIÓN.

t

e

WOTC Instructions

Before the Call:

1. Please have a pen available.

2. Read and complete the attached Form 8850.

3. Call toll-free

1 (800) 524-4414.

You will be prompted to

provide some basic information during the brief survey.

Complete the section below as instructed by the Ernst & Young

representative.

After the Call:

A

B

This employer is participating in the Work Opportunity

T

ax

C

redit program. All information

you provide will be

kept confi dential and will not affect your job, wages, or taxes in any way.

A

Your Name

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

.

2. Documentation required (complete only if instructed by representative)

Employer is not eligible for the tax credit. No further action is necessary.

Your confi rmation number is:

To Unit/Location Manager: If Box is circled, ALWAYS send the completed WOTC Forms

immediately

to Ernst & Young.

Ernst & Young LLP

1201 Main Street, Suite 2000

Phone:

1

(800) 524-4414

Dallas, TX 75202

Attn.: WOTC Processing Center

Ver Jan 07 206

Please see reverse side

Please retain your confi rmation number as you may be asked to provide this.

t

e

WOTC Instructions

Before the Call:

1. Please have a pen available.

2. Read and complete the attached Form 8850.

3. Call toll-free

1 (800) 524-4414.

You will be prompted to

provide some basic information during the brief survey.

Complete the section below as instructed by the Ernst & Young

representative.

After the Call:

A

B

This employer is participating in the Work Opportunity Tax Credit program. All information you provide will be

kept confi dential and will not affect your job, wages, or taxes in any way.

A

Your Name

Circle A or B

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

.

2. Documentation required (complete only if instructed by representative)

Employer is not eligible for the tax credit. No further action is necessary.

Your confi rmation number is:

To Unit/Location Manager: If Box is circled, ALWAYS send the completed WOTC Forms immediately to Ernst & Young.

Ernst & Young LLP

1201 Main Street, Suite 2000

Phone: 1 (800) 524-4414

Dallas, TX 75202

Attn.: WOTC Processing Center

Ver Jan 07 206

Please see reverse side

W-4

Only complete this form if instructed by the Ernst & Young representative. The W-4 form below is used for

docu-mentation purposes for the Work Opportunity Tax Credit program only. Completing this W-4 will not affect your

job, wages or taxes. Thank you for your participation.

t

e

206

Please mail this form to Ernst & Young in the enclosed postage paid envelope.

OMB No. 1545-0074

Employee’s Withholding Allowance Certificate

W-4

Form

Department of the Treasury Internal Revenue Service

Whether you are entitled to claim a certain number of allowances or exemption from withholding is

subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.

Type or print your first name and middle initial.

1 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.}

City or town, state, and ZIP code

Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box.

5 5 Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2)

$

6 6 Additional amount, if any, you want withheld from each paycheck

7 I claim exemption from withholding for 2008, and I certify that I meet both of the following conditions for exemption. ●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.

7

If you meet both conditions, write “Exempt” here 

8

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 you sign it.)  Date 

9 Employer identification number (EIN) Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) Office code (optional) 10

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.

Cat. No. 10220Q Date of Birth:

For Privacy Act and Paperwork Reduction Act Notice, see page 2. Form W-4(2008)

08

t

e

WOTC Instructions

Before the Call:

1. Please have a pen available.

2. Read and complete the attached Form 8850.

3. Call toll-free

1 (800) 524-4414.

You will be prompted to

provide some basic information during the brief survey.

Complete the section below as instructed by the Ernst & Young

representative.

After the Call:

A

B

This employer is participating in the Work Opportunity

T

ax

C

redit program. All information

you provide will be

kept confi dential and will not affect your job, wages, or taxes in any way.

A

Your Name

Circle A or B

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

.

2. Documentation required (complete only if instructed by representative)

Employer is not eligible for the tax credit. No further action is necessary.

Your confi rmation number is:

To Unit/Location Manager: If Box is circled, ALWAYS send the completed WOTC Forms immediately to Ernst & Young.

Ernst & Young LLP

1201 Main Street, Suite 2000

Phone: 1 (800) 524-4414

Dallas, TX 75202

Attn.: WOTC Processing Center

Ver Jan 07 206

Please see reverse side

Release Notice

I authorize the Social Security Administration, Department of Social Services, Military Records,

Vocational Rehabilitation, Veterans Administration, Department of Corrections, Department of Defense,

National Guard, California Employment Development Department, or applicable Indian Tribe to provide the

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

participation in Federal and State Tax Credits, including the Work Opportunity Tax Credit Program.

IMPORTANT: Please complete EVERY ITEM below, if applicable.

Name:

Social Security Number:

Name of main recipient (or former recipient),

Who received or is receiving the TANF/AFDC or Food Stamps:

Name of Case Worker/Vocational Counselor/Correctional Officer:

Telephone Number of Case Worker/Vocational Counselor/Correctional Officer:

Agency Name & Address:

Agency City, State, ZIP:

Case Number:

City & County where benefits received:

State where benefits received:

Signature:

Date:

Please mail this form to Ernst & Young in the enclosed postage paid envelope.

WOTC Processing Center 1201 Main St., #2000 Dallas, TX 75202

Phone: 1 (800) 524-4414

206

Release Notice

I authorize the Social Security Administration, Department of Social Services, Military Records,

Vocational Rehabilitation, Veterans Administration, Department of Corrections, Department of Defense,

National Guard, California Employment Development Department, or applicable Indian Tribe to provide the

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

participation in Federal and State Tax Credits, including the Work Opportunity Tax Credit Program.

IMPORTANT: Please complete EVERY ITEM below, if applicable.

Name:

Social Security Number:

Name of main recipient (or former recipient),

Who received or is receiving the TANF/AFDC or Food Stamps:

Name of Case Worker/Vocational Counselor/Correctional Officer:

Telephone Number of Case Worker/Vocational Counselor/Correctional Officer:

Agency Name & Address:

Agency City, State, ZIP:

Case Number:

City & County where benefits received:

State where benefits received:

Signature:

Date:

Please mail this form to Ernst & Young in the enclosed postage paid envelope.

WOTC Processing Center 1201 Main St., #2000 Dallas, TX 75202

Phone: 1 (800) 524-4414

206

t

e

WOTC Instructions

Before the Call:

1. Please have a pen available.

2. Read and complete the attached Form 8850.

3. Call toll-free

1 (800) 524-4414.

You will be prompted to

provide some basic information during the brief survey.

Complete the section below as instructed by the Ernst & Young

representative.

After the Call:

A

B

This employer is participating in the Work Opportunity

T

ax

C

redit program. All information

you provide will be

kept confi dential and will not affect your job, wages, or taxes in any way.

A

Your Name

Circle A or B

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 .

2. Documentation required (complete only if instructed by representative)

Employer is not eligible for the tax credit. No further action is necessary.

Your confi rmation number is:

To Unit/Location Manager: If Box is circled, ALWAYS send the completed WOTC Forms

immediately

to Ernst & Young.

Ernst & Young LLP

1201 Main Street, Suite 2000

Phone:

1

(800) 524-4414

Dallas, TX 75202

Attn.: WOTC Processing Center

Ver Jan 07 206

Please see reverse side

OMB No. 1545-1500 Form

8850

Department of the Treasury Internal Revenue Service

Check here if you received a conditional certification from the state workforce agency (SWA) or a participating local agency for the work opportunity credit.

2 3

● 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.

Cat. No. 22851L

Pre-Screening Notice and Certification Request for

the Work Opportunity Credit

Form 8850 (Rev. 6-07) (Rev. June 2007)

Job applicant: Fill in the lines below and check any boxes that apply. Complete only this side. Your name

Street address where you live City or town, state, and ZIP code

a Received food stamps for the past 6 months, or

Job applicant’s signature�

If you are under age 40, enter your date of birth (month, day, year)

Social security number �

/ /

● 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:

● During the past year, I was convicted of a felony or released from prison for a felony.

b Received food stamps for at least 3 of the past 5 months, but is no longer eligible to receive them.

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.

Date / /

For Privacy Act and Paperwork Reduction Act Notice, see page 2.

Telephone number ( )

-� _{See separate instructions.}

Check here if any of the following statements apply to you.

Check here if you are a member of a family that:

● Received TANF payments for at least the past 18 months, 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.

● I received supplemental security income (SSI) benefits for any month ending during the past 60 days.

5

Signature—All Applicants Must Sign

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.

● 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

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

4

● Unemployed for a period or periods totaling at least 6 months.

Please mail this form to Ernst & Young in the enclosed postage paid envelope

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

How did he/she get along with those who supervised his/her work?

5

Did he/she supervise the work of others?

What was the scope of his/her supervision?

6

What did you feel were his/her strong points?

7

What did you feel were his/her weak points?

8

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?

9

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

How did he/she get along with those who supervised his/her work?

5

Did he/she supervise the work of others?

What was the scope of his/her supervision?

6

What did you feel were his/her strong points?

7

What did you feel were his/her weak points?

8

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?

9

PLEASE READ VERY CAREFULLY BEFORE SIGNING BELOW

I understand that:

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