APPLICATION FOR EMPLOYMENT
APPLICATION FOR EMPLOYMENT
PERSONAL INFORMATION
NAME (FIRST & LAST)
ADDRESS, CITY, STATE, ZIP
PRE-EMPLOYMENT QUESTIONNAIRE WE ARE AN EQUAL OPPORTUNITY EMPLOYER
PHONE #
(
)
EMAIL
ARE YOU 16 OR OLDER? (Labor Laws)
( ) YES ( ) NO
EMPLOYMENT DESIRED
POSITION
ARE YOU 18 OR OLDER? (Alcohol Serving Laws) ( ) YES ( ) NO
DATE YOU CAN START
REFERRED BY SALARY DESIRED
EVER APPLIED TO THIS COMPANY BEFORE?
WHICH LOCATION?
W HEN?
( ) YES ( ) NO SHIFT AVAILABILITY: PLEASE INDICATE ANY DAYS/EVENINGS YOU WOULD NOT BE AVAILABLE TO WORK
EDUCATION
HIGH SCHOOL
LOCATION
DID YOU GRADUATE?
COLLEGE
LOCATION
DID YOU GRADUATE?
OTHER
LOCATION
DID YOU GRADUATE?
SUBJECTS OF SPECIAL STUDY/RESEARCH WORK OR SPECIAL TRAINING/SKILLS:
SUBJECTS STUDIED SUBJECTS STUDIED SUBJECTS STUDIED
GENERAL
ARE YOU A CITIZEN OF THE UNITED STATES? DO YOU HAVE ANY DISABILITY THAT WOULD PREVENT YOU FROM PERFORMING YOUR JOB? ARE YOU OR HAVE YOU BEEN IN THE US MILITARY/NAVAL SERVICE?
( ) YES ( ) YES ( ) YES
( ) NO ( ) NO ( ) NO
FORMER EMPLOYERS
LIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST
DATE (Month/Year)
NAME & PHONE # OF EMPLOYER
SALARY
POSITION(S)
REASON FOR LEAVING
FROM:
TO:
FROM:
TO:
FROM:
TO:
ARE YOU CURRENTLY EMPLOYED?
IF SO, MAY WE CONTACT YOUR PRESENT EMPLOYER?
REFERENCES
NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST TWO YEARS
NAME
PHONE #
YEARS KNOWN
(
)
(
)
(
)
AUTHORIZATION
I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT IF I AM EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN, REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE. I ALSO RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION. I UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY AGENT.
DATE:
SIGNATURE:
RETURN YOUR COMPLETED & SIGNED APPLICATION TO THE RESTAURANT
................
................
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