BLACK BEAR SMOKEHOUSE BBQ INC. APPLICATION FOR EMPLOYMENT
PLEASE FILL OUT BOTH THE FRONT AND BACK OF THIS APPLICATION
PLEASE TELL US ABOUT YOURSELF
NAME (print)
Date_____________
Last_________________________ Middle I.____
First___________________________
Present Address __________________________________________City _____________ State ____Zip__________
Home Phone_____________________
Cell Phone____________________________
Email Address_________________________________________________________________
Do you have a reliable means of transportation to work? ___yes ___no
What wage are you expecting? ________________
If you are younger than 18 years old, how old are you? _____
Are you eligible to work in the U.S.? ___yes ___no (PROOF OF ELIGIBLITY IS REQUIRED UPON EMPLOYMENT)
Have you ever been convicted of a felony? ___yes ___no If so, please indicate the crime, date of conviction, the
state in which the offense occurred, and the sentence (if any):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
NOTE: Please do not answer “yes” or provide any information about convictions that have been erased, expunged, sealed,
pardoned, set aside, vacated, annulled, or otherwise eradicated by a court.
AVAILABITY
SUN
MON
TUES
WED
THUR
FRI
SAT
FROM
TO
Summer______________ School Year_____________ All Year__________________
Minimum number of hours needed to work______ Maximum number of hours able to work ______
PREVIOUSE EMPLOYMENT HISTORY
Name & Address of Employer ______________________________________________________________
Employed from _______to_______ Phone #_____________ Supervisor_____________ Earnings_________
Reason for Leaving________________________________________________________________________
Name & Address of Employer ______________________________________________________________
Employed from _______to_______ Phone #_____________ Supervisor_____________ Earnings_________
Reason for Leaving________________________________________________________________________
Name & Address of Employer ______________________________________________________________
Employed from _______to_______ Phone #_____________ Supervisor_____________ Earnings_________
Reason for Leaving________________________________________________________________________
Black Bear Smokehouse BBQ INC. is an equal employment opportunity employer and considers all applicants without regard to race, color,
religion, national origin, ancestry, citizenship, sex, pregnancy, age, physical or mental disability, genetic information, service in the uniformed
services, or any other basis protected by federal, state, or local law(s).
BLACK BEAR SMOKEHOUSE BBQ INC. APPLICATION FOR EMPLOYMENT
EDUCATION
High School (Last attended)
Location
Did You Graduate? ___yes ___no
_____________________________________________________________________________
College & Vocational Schools
Location Did You Graduate? ___yes ___no If yes, Degree & Major
_____________________________________________________________________________________________
_____________________________________________________________________________________________
PERSONAL BACKGROUND
Please list awards and/or leadership positions held (work, school, or other organizations)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
MILITARY SERVICE
___yes ___no
Branch ________________Rank ______________Start Date ______End Date_______
Please describe your duties
_____________________________________________________________________________________________
_____________________________________________________________________________________________
REFERENCES PLEASE PROVIDE FOUR REFERENCES (FOR EXAMPLE, CURRENT OR PAST EMPLOYERS OR
SUPERVISORS; TEACHERS; OTHER FAMILY MEMBERS WITH YOUR QUALIFACTIONS)
Name
Address
Phone
Relationship
Years Known
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
PLEASE READ THE FOLLOWING STATEMENT CAREFULLY AND SIGN
I understand that I am applying for employment at Black Bear Smokehouse BBQ INC.. I further understand that completion of this
application does not indicate that there are any positions currently open and does not obligate Black Bear Smokehouse BBQ INC to hire me.
I certify that all the answers and/or information given in this application are true and complete to the best of my knowledge and that I have
personally completed this application. I understand that providing false or misleading information or omitting pertinent information in my
application or job interview shall be grounds for rejection of this application or for immediate discharge if I am employed
I understand that if I am employed, my employment with be for no definite period of time. I understand that my employment may be
terminated at-will with or without cause, and with or without notice, at the option of either Black Bear Smokehouse BBQ INC. or me.
I authorize all persons or businesses contacted by or on behalf of Black Bear Smokehouse BBQ INC. about me on my application to disclose
any and all performance reviews, reports, and other documents and information related to my background, work history and qualifications,
without giving me prior notice of such disclosure. I also authorize the persons named herein as references and others of whom Black Bear
Smokehouse BBQ INC. may inquire about my background or provide Black Bear Smokehouse BBQ INC. with any pertinent information they
may have regarding me. By signing below, I fully release Black Bear Smokehouse BBQ INC., my former employers and all other persons, and
businesses from any and all claims, demands or liabilities arising out of or in any way related to such references or disclosures.
Date
Applicant Signature
Black Bear Smokehouse BBQ INC. is an equal employment opportunity employer and considers all applicants without regard to race, color,
religion, national origin, ancestry, citizenship, sex, pregnancy, age, physical or mental disability, genetic information, service in the uniformed
services, or any other basis protected by federal, state, or local law(s).