Today's Date: Your Name: Email: Telephone #: Address: What position are you applying for? What weekly/hourly wage and benefits do you receive at present? What wage and benefits do you expect to receive for the job for which you are applying? If this is not acceptable to the Company, what are the minimal wages and benefits that you would consider? What is your long term goal? What is your one year plan? How much of a commitment can you give to the Company? i.e. How many hours do you want a week? How many hours a day can you work? Do you prefer to work nights or days? —Please choose an option—daysnights Is weekend/holiday work a problem? —Please choose an option—noyes Explain any of the above: Are you still in school? —Please choose an option—noyes What is your present schedule? What are your favorite courses? What are your hobbies?
Name & Location: Graduate: —Please choose an option—noyes Major:
Name & Location: Graduate —Please choose an option—noyes Major:
Name: Address: Occupation:
Name: Address: Occupation: Are there any references that we shouldn’t contact? Are you a citizen of the United States? —Please choose an option—noyes If not, do you have the right to stay here permanently? —Please choose an option—noyes How did you get along with your old bosses? Were you ever treated unfairly? —Please choose an option—noyes Explain:
What would you tell your old boss to help him improve his business? Did you get along well with your fellow employees? —Please choose an option—noyes Explain: Have you ever been singled out for any awards/honors/punishment/discipline at your old jobs? —Please choose an option—noyes Explain: Have you ever been fired from any of your past jobs? —Please choose an option—noyes Explain: Is there anything about you that make you an especially good employee? What did you like most and least about the above jobs? Have you ever been convicted of a crime? —Please choose an option—noyes What was the felony that you were convicted of? —Please choose an option—noyes Are there any felony charges pending against you? —Please choose an option—noyes Have any of your relatives, other than your spouse, worked here? —Please choose an option—noyes Elaborate on any of the above information: Can you explain how you plan to arrive at work on a reliable basis? Do you understand that restaurant work involves weekend work/long hours/night work? —Please choose an option—noyes Do you have a problem with being called at home to work extra shifts? —Please choose an option—noyes Are you 18 years old or older? —Please choose an option—noyes Who would you like to be notified in case of an emergency? How long would it take you to get here? Why do you want to work and particularly, why do you want to work here?
Month/Year
From: To: Name: Address: Salary: Position: Reason Left:
From: To: Name: Address: Salary: Position: Reason Left: What special qualities do you have that could benefit us? I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. I understand that this is not a contract and that no Manager, Supervisor or any other Representative of this Company other than Corporate Officers, has the right or authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing. Employees will understand that employment is terminable at the will of either party (Employer or Employee) at any time for any reason. There are no promises of long term employment. I AgreeI Disagree
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