STEP Application : Food Bank of Delaware

Referring Agency(Required)

Candidate Name(Required)

Counselor/Case Manager Name(Required)

Counselor/Case Manager Contact Phone Number(Required)

How long has this candidate been working with your agency?(Required)

Date Referred(Required)

Position Applying For(Required)

Preferred Start Date(Required)

Maximum number of hours the candidate can work per day?(Required)

Maximum number of hours the candidate can work per week?(Required)

Preferred Shift(Required)

8 a.m. - 12 p.m.

12 p.m. - 4 p.m.

3 p.m. - 7 p.m.

Preferred Days(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Is the candidate currently employed?(Required)

Yes

Last position candidate held(Required)

Dates of last position held(Required)

What were the candidate's responsibilities on their last job?(Required)

What was the candidate's reason for leaving his/her last job?(Required)

Did the candidate interact directly with customers/people?(Required)

Was the candidate on any form of disciplinary action at previous employers?

What was the candidate's last job performance rating?(Required)

Unsatisfactory

Satisfactory

Good

Excellent

Superior

N/A

Is the candidate currently working on vocational/employment goals?(Required)

Yes

If yes, please explain

Are you aware of any issues that would impact this candidate's ability to work at the Food Bank of Delaware?(Required)

Has the candidate volunteered at the Food Bank of Delaware? If so, what did they do and how long ago?(Required)

Describe how the candidate resolves interpersonal conflict:(Required)

Are you aware of any anger control issues? If yes, please explain(Required)

Could this candidate bring a risk of harm to themselves and/or others? If yes, please explain.(Required)

Is there anything that would prevent this candidate from performing the essential functions of the job? If yes, please explain.(Required)

Is there any accommodation required for this candidate to perform the job's essential functions? If yes, please explain.(Required)

Is this candidate able to respond to directions? If not, please explain.(Required)

Does this candidate have the ability to work independently?(Required)

What type of transportation does the candidate take to and from work?(Required)

Please attach the following documents: Resume/Work Experience, Letter of Recommendation from a previous employer or reference letter (if applicable), Current employment/vocational goals

Drop files here or

Accepted file types: pdf, Max. file size: 32 MB.

STEP Application

Candidate/Agency Referral Questionnaire/Application

Join Us! Stay Connected to the Food Bank of Delawarefor ways to help, exciting news, and events!

Join Us! Stay Connected to the Food Bank of Delaware
for ways to help, exciting news, and events!