APPLICANT’S STATEMENT
I understand that the Company is committed to providing equal opportunity in all employment practices, including but not limited to selection, hiring promotion, transfer, and compensation to all qualified applicants and employees without regard to age, race, color, national origin, sex, religion, handicap, genetics, disability or any other category protected by federal, state, or local law.
I authorize former and present employers, and professional, work, and personal references listed in the application and any other individuals I may name, to give the Company or its designee any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release such parties from all liability for any damages that may result from furnishing same to the Company. I also authorize the Company to provide truthful information concerning my employment with it to future employers and I agree to hold it harmless for providing such information.
I understand that the Company reserves the right, to the extent permitted by law, to require drug and alcohol screening tests of an applicant or an employee either prior to employment or any time during employment and I hereby give my consent to any such tests. I consent to the release of the results of any such tests to the Company or its designee. I release the Company and its designee from any and all liability and damages which may result or arise from any drug test or the provision of information in connection with such a test.
I understand that this employment application and any other Company documents are not promises of employment. If I am hired and not employed pursuant to a contract of employment that contains a specific duration of employment, I understand that my employment will be on a trial period for ninety (90) days from the date of my hiring, and that I will remain an at-will employee thereafter.
I further understand that, if I am employed, I can terminate my employment at any time with or without cause and with or without advance notice, and that the Company has a similar right. I understand that no manager, representative, or agent 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, except that the President may do so in writing. If I am hired under a contract, the contract will control the terms of my employment.
The information given by me on this application and during the interview process is true and complete in all respects, and I agree that if the information is found to be false, misleading, or unsatisfactory in any respect (in the Company’s judgment) that I will be disqualified from consideration for employment or subject to immediate dismissal if discovered after I am hired.
I CERTIFY THAT I HAVE RECEIVED A WRITTEN NOTIFICATION THAT THE COMPANY MAY OBTAIN A CONSUMER REPORT ON ME FOR USE IN CONNECTION WITH MY APPLICATION AND, IF I AM HIRED, MY EMPLOYMENT WITH THE COMPANY. I AUTHORIZE THE COMPANY TO OBTAIN THIS REPORT.
THIS APPLICATION WILL BE CONSIDERED “ACTIVE” FOR A MAXIMUM OF THIRTY (30) DAYS IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THESE STATEMENTS.
Today's Date:
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Personal Data
Present Address
How many years and months have you lived at this address:
Previous Address
How many years and months did you live at this address:
Telephone Number(s)
Are you 18 years of age or older: yes no
Position Desired:
Placement Desired: Full-time Part-time Temporary
When are you available to begin employment?
The following is not mandatory, but we do like to get to know our potential employees before hiring:
Do you know of any reason why you cannot perform the essential functions of the job for which you are applying with or without accommodations?
yes no
If yes, please describe any accommodations required:
LEGAL HISTORY
Please note that answering yes to any of the following questions does not constitute an automatic bar to employment.
Have you ever pleaded no contest, guilty or nolo to a crime, or been convicted of a crime?
yes no
Are any charges currently pending against you?
yes no
Has any adjudication ever been withheld?
yes no
Back NEXT -> Employment History
Please list the names of your present or previous employers in chronological order with present or last employer listed first. Include part-time and seasonal employment. If self-employed, give firm name and supply business references. DO NOT ANSWER “SEE RESUME.” You must have at least one present or previous employment experience.
EMPLOYER 1
Dates Employed
Telephone Number(s)
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EMPLOYER 2
Dates Employed
Telephone Number(s)
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EMPLOYER 3
Dates Employed
Telephone Number(s)
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EMPLOYMENT BACKGROUND INFORMATION
Please explain fully any gaps in your employment history. Be sure to account for all periods of time including military service and any period of unemployment:
If hired, can you provide proof that you are legally entitled to work in the U.S.
yes no
Have you ever been terminated or asked to resign from any job?
yes no
If yes, please explain circumstances:
May we contact your current employer?
yes no
If no, please explain:
Have you ever worked in one of our restaurants before?
yes no
If yes, please tell us which restaurant and give dates and position:
Do you have any friends or relatives working here or for one of our other restaurants?
yes no
If yes, Name(s) and Relationship:
PROFESSIONAL REFERENCES
Please provide 3 professional references
2.
3.
ADDITIONAL EXPERIENCE
Back to Personal Details NEXT -> Education
EDUCATION
High School Year Completed 9 10 11 12
College/University Year Completed 1 2 3 4
College/University Diploma or Degree received:
Graduate School Year Completed 1 2 3 4
Graduate School Diploma or Degree received:
Trade or Correspondence School Year Completed 1 2 3 4
Trade-Correspondence School Diploma or Degree received:
Describe any relevant or specialized experience, training, skills that may be an asset for our work environment.
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DRIVING INFORMATION
If driving information is not relevant to the job to which you are applying, please scroll to the bottom of this page and submit your application. Complete the following only if driving is an essential function of the job for which you are applying, such as our catering and food delivery services.
Do you have a current valid driver’s license?
yes no
Has your license ever been suspended or revoked?
yes no
Do you have personal automobile insurance?
yes no
Have you ever been denied personal personal automobile insurance or has it ever been terminated or suspended?
yes no
Have you ever been convicted, pleaded guilty, or pleaded NOLO to a charge of DWI or DUI?
yes no
Are any such charges pending against you?
yes no
Please list all moving violations within the last 5 years with Date, Offense, Location, & other information we should know:
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