| PERSONAL INFORMATION : |
| * Your Name: |
First:
|
Last:
|
| * Street Address: |
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| * City: |
|
State:
|
* Zip Code:
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* Telephone
(with area code): |
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Work Phone:
|
|
| * Email Address: |
|
|
| * Location for which you are applying:
|
|
Who referred you to us?
|
| |
| * Position desired: |
|
Desired Salary:
|
| * Date you can start work |
|
| EDUCATIONAL
BACKGROUND: |
Grammar
School |
|
Name:
Location:
Years attended:
|
|
Graduated:
Yes
No |
High School |
|
* Name:
* Location:
* Years attended:
|
|
* Course of Study:
* Graduated:
Yes
No |
College |
|
Name:
Location:
Years attended:
|
|
Course of Study:
Graduated:
Yes
No
Degree Earned:
|
Trade, Business, or Correspondence School
|
|
Name:
Location:
Years completed:
|
|
Course of Study:
Graduated:
Yes
No
Degree Earned:
|
| |
|
US Military Service:
Rank:
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Subjects of Special Study/Research, Work, or Special Training/Skills: |
|
| EMPLOYMENT
|
| Beginning with your present or most recent employer, describe your employment experiences below. |
| EMPLOYER
1: |
| * Employed
from (mm/yy)
to
|
| * Employer Name and Address:
|
|
* Position:
|
* Hourly rate/salary:
|
| * Reason for leaving:
|
| EMPLOYER
2: |
| Employed
from (mm/yy)
to
|
| Employer Name and Address:
|
|
Position:
|
Hourly
rate/salary:
|
| Reason
for leaving:
|
| EMPLOYER
3: |
| Employed
from (mm/yy)
to
|
| Employer Name and Address:
|
|
Position:
|
Hourly
rate/salary:
|
| Reason
for leaving:
|
| EMPLOYER
4: |
| Employed
from (mm/yy)
to
|
| Employer Name and Address:
|
|
Position:
|
Hourly
rate/salary:
|
| Reason
for leaving:
|
| REFERENCES:
|
| Give the names of (3) persons not related to you, who you have known at least (1) year |
| * Name:
* Address:
|
| * Business:
* Years Known:
|
| * Name:
* Address:
|
| * Business:
* Years Known:
|
| * Name:
* Address:
|
| * Business:
* Years Known:
|
| ADDITIONAL QUESTIONS :
|
| Have you had any previous restaurant experience? If so,
please explain: |
|
|
* Have you ever been convicted of a felony?
Yes
No |
|
* Do you meet the age guideline for the position you are applying for?
Yes
No |
| PLEASE READ THE FOLLOWING SECTION. IF CONTACTED FOR AN INTERVIEW, YOUR SOCIAL SECURITY NUMBER AND SIGNATURE WILL BE REQUIRED AS CONDITIONS OF EMPLOYMENT. |
I certify that the facts contained in this application are true and complete to the best of my knowledge
and understand that, if employed, falsified statements on this application shall be grounds for termination.
I authorize investigation of all statements contained herein and the references and employers above may have, personal or
otherwise, and release the company from all liability for any damage that may result from the utilization
of such information.
|
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