| |
| Date (MM/DD/YY): |
|
| Position you are applying for: |
|
| Location you are applying for: |
|
| Name: |
|
| Address: |
|
| City |
|
| State: |
|
| Zip
Code: |
|
| Phone Number: |
|
| Email
Address: |
|
| According to Federal and State Minor Laws, certain restrictions apply to employees under the age of 18. To assist us in complying with the law, please answer the following question: |
| Are you 18 years of age or older? |
Yes No |
| Are you legally able to be employed in the U.S.? |
Yes No |
|
| Driver's License Number: |
|
| Date Available to Start (MM/DD/YY): |
|
| Have you ever been convicted of a crime, been on deferred adjudication, or on probation for a crime other than a traffic violation? |
|
No
Yes |
|
| If yes, please give details: |
|
| Have you ever been employed by this company or at this site? |
|
No
Yes |
|
| If yes, please give dates (MM/DD/YY): |
|
|
| ADDITIONAL INFORMATION |
| Please describe the ideal environment you would like to work in. |
|
|
| EMPLOYMENT HISTORY: |
| Dates of Employment (MM/DD/YY): |
From:
To:
|
| Wages: |
Start:
End:
|
| Supervisor Name: |
|
| Supervisor Title: |
|
| Employer: |
|
| Employer Address: |
|
| Employer Phone #: |
|
| Reason for Leaving: |
|
| Occupation & Duties: |
|
| May We Contact? |
Yes
No |
|
| Dates of Employment (MM/DD/YY): |
From:
To:
|
| Wages: |
Start:
End:
|
| Supervisor Name: |
|
| Supervisor Title: |
|
| Employer: |
|
| Employer Address: |
|
| Employer Phone #: |
|
| Reason for Leaving: |
|
| Occupation & Duties: |
|
| May We Contact? |
Yes
No |
|
| EDUCATIONAL HISTORY: |
| High School: |
|
| City & State: |
|
| Highest Grade Completed: |
|
|
| College: |
|
| City & State: |
|
| Highest Grade Completed: |
|
|
| Other: |
|
| City & State: |
|
| Highest Grade Completed: |
|
|
| ADDITIONAL INFORMATION: |
| Availability:
Mon.
Tues.
Wed.
Thurs.
Fri.
Sat.
Sun. |
| If relevant to the position(s) applied for, list any occupational qualifications, special skills, hobbies or interests: |
|
|
| REFERENCES: |
| Name: |
|
| Address: |
|
| Phone: |
|
| How is this person associated with you? |
|
|
| Name: |
|
| Address: |
|
| Phone: |
|
| How is this person associated with you? |
|
|
| We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, national origin, color, age, sex, sexual orientation, religion, marital status, ancestry, disability, medical condition, Veteran status or HIV or AIDS status, and any other characteristics protected by applicable law. Consistent with the Americans with Disabilities Act, applicants may request accommodations needed to participate in the application process. |
|
VOLUNTARY INFORMATION:
This information is not required on your application. |
| How did you hear about the position you are applying for? |
|
|
Checking the box below indicates that
I have read and fully understand the
questions asked on this application.
I certify that all answers provided
by me are true and complete to the
best of my knowledge. I authorize
all schools, persons, previous employers
and other organizations named in this
application to provide the company
with any relevant information that
may be required to arrive at an employment
decision, and hereby release any such
schools, persons, employers, and organizations
from any liability which they might
otherwise incur to me as a result.
Any acceptance of employment will
be predicated upon the truthfulness
of written or verbal statements contained
within this application and pre-employment
process. I hereby authorize Amazing
Jake's, or its affiliate,
to thoroughly investigate my references,
work records, education, personal
information, and other matters related
to my suitability for employment and
to perform a background and credit
check. I understand that the company
is an at-will employer. This means
that if I am employed, it is not any
specific time or duration. I understand
that as a part of my application for
employment, I may be required to submit
to a physical examination and/or a
drug screening.
I Acknowledge that I have read and understood all of the above statements I accept them. |
|