APPLICATION FOR EMPLOYMENT

(Please answer all questions)


ARE AN EQUAL OPPORTUNITY EMPLOYER

POSITION APPLIED FOR



DATE

DATE STARTED



EMPLOYEE NUMBER


NOTICE: Applicant should read the following information carefully before filling out any of the questions on this form. We are an equal opportunity employer and fully subscribe to the principles of equal opportunity. It is our policy to seek and employ the best qualified personnel in all positions without regard to race, color, religion, age, sex, disability, national origin or any other basis made unlawful by either state or federal law. It is our policy to comply with all federal and state employment statues. Information requested on this application will not be used for any purpose prohibited by law.

NAME:LAST


PRESENT ADDRESS


PHONE NUMBER

FIRST


CITY

MIDDLE


STATE


How long have you lived at the above address?

SOCIAL SECURITY NUMBER


ZIP CODE

Are you 18 years old or older? Yes No If not, state date of birth If under age 18, how many hours per week are you employed elsewhere? hours Have you had any name changes this employer should know about in order to verify job or education history? Yes No Previous Name Do you have transportation to and from work? Yes No Are you authorized to work in the U.S.? Yes No Position applied for? Date you can start Salary desired Are you applying for Full Time Part Time Days Only Nights Only Days/Nights Who recommended you for this position?


EDUCATION


SCHOOLING

NAME AND ADDRESS OF SCHOOL GRADE or DEGREE
COMPLETED
GRADUATE
YES or NO

 

High School




 

College or University




 

Others (Specify)







PREVIOUS RESTAURANT EXPERIENCE


(LIST BELOW YOUR FOUR EMPLYERS, STARTING WITH MOST RECENT ONE FIRST)


EMPLOYMENT

COMPANY
BUSINESS

YOUR
POSITION

IMMEDIATE
SUPERVISOR

TITLE EMPLOYMENT
DATES
YEARLY
SALARY

 

1.Company Name:

Address:



Phone:














EMPLOYMENT

COMPANY
BUSINESS

YOUR
POSITION

IMMEDIATE
SUPERVISOR

TITLE EMPLOYMENT
DATES
YEARLY
SALARY

 

2.Company Name:

Address:



Phone:














EMPLOYMENT

COMPANY
BUSINESS

YOUR
POSITION

IMMEDIATE
SUPERVISOR

TITLE EMPLOYMENT
DATES
YEARLY
SALARY

 

3.Company Name:

Address:



Phone:














EMPLOYMENT

COMPANY
BUSINESS

YOUR
POSITION

IMMEDIATE
SUPERVISOR

TITLE EMPLOYMENT
DATES
YEARLY
SALARY

 

4.Company Name:

Address:



Phone:
















Are there any job duties that you would be unable to perform? Is there anything we could do to accommodate you so you could perform all the required job duties? Have you ever applied to this company before? Yes No If yes, where? When? Are you now employed? Yes No Telephone number


IN CASE OF EMERGENCY NOTIFY – (NAME, ADDRESS, PHONE) RELATIONSHIP, IF ANY



1. I authorize investigation of all statements contained in this application.
2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the forgoing inquiries.
3. I have read these statements and answers to these inquiries. Yes No



Date Signature