Applicant Information - Lotus Seafood | Best Seafood In Houston

Full Name:

Last

Address:

Street Address

Applicant Information

First

DOB:

M.I.

Apartment/Unit #

City

State

ZIP Code

Phone:

Email:

Date Available:

Social Security #:

Desired Pay:

Position Applied for:

Are you a citizen of the United States?

YES NO

YES NO If no, are you authorized to work in the U.S.?

Have you ever worked for this company?

YES NO If yes, when?

Are you willing to travel (if the location you YES NO

are applying for is not available)?

Desired location of employment? ____________________

High School:

From:

To:

College:

From:

To:

Education

Address:

YES NO Did you graduate?

Diploma:

Address:

YES NO Did you graduate?

Degree:

Please list three professional references.

References

Full Name: __________________________________________________ Company: __________________________________________________ Address: __________________________________________________

Full Name: __________________________________________________ Company: __________________________________________________ Address: __________________________________________________

Relationship:___________________ Phone:___________________

Relationship:___________________ Phone:___________________

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Full Name: __________________________________________________ Company: __________________________________________________ Address: __________________________________________________

Previous Employment

Company: Address:

Relationship:___________________ Phone:___________________

Phone: Supervisor:

Job Title:

Starting Pay: $

Ending Pay: $

Responsibilities:

From:

To:

Reason for Leaving:

Company: Address:

Job Title:

Responsibilities:

From:

To:

Starting Pay: $

Phone: Supervisor:

Ending Pay: $

Reason for Leaving:

Company: Address:

Phone: Supervisor:

Job Title:

Starting Pay: $

Ending Pay: $

Responsibilities:

From:

To:

Reason for Leaving:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:

Date:

Upon completion, please email this form to hiring@lotus-, or print and hand into desired Lotus Seafood location.

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