Level 257
EMPLOYMENT INQUIRY
NAME (PLEASE PRINT)
LAST
FIRST
MIDDLE
ADDRESS
CITY
STATE
TELEPHONE NUMBER
ALTERNATE CONTACT NUMBER
(
(
)
I AM APPLYING FOR:
FULL TIME ______
I AM AVAILABLE AND INTERESTED TO WORK:
MONDAY / HOURS
TUESDAY / HOURS
PART TIME ______
ZIP
If you are under 18, what is your date of birth?
POSITION YOU ARE SEEKING?
)
TEMP/SEASONAL ______
WEDNESDAY / HOURS
EMAIL ADDRESS
THURSDAY / HOURS
ON CALL ______
FRIDAY / HOURS
SATURDAY / HOURS
SUNDAY / HOURS
Have you ever been convicted of a felony? (A felony conviction is not necessarily a ban to employment. All circumstances will be considered.)
YES ____________ NO ____________
ANY PREVIOUS RESTAURANT EXPERIENCE
YES _______ NO___________ If yes please specify:
COMPANY NAME - CURRENT/MOST RECENT
ADDRESS
FROM:
LAST POSITION HELD:
TO:
COMPANY
FROM:
REASON FOR LEAVING
ADDRESS
TO:
LAST POSITION HELD:
REASON FOR LEAVING
LEVEL OF EDUCATION:
MILITARY SERVICE
BRANCH:
ARE YOU ELIGIBLE TO WORK IN THE UNITED STATES?
YES _____________ NO _____________
Signature: __________________________
DATE: _________________________