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Avg hours per week at Previous Employer #2

Extracurricular Activities *

May we contact Previous Employer #2

Yes

Position(s) Held w/ Previous Employer #1 *

Disposition of Offense

Previous Employer #2 Address

Previous Employer #1 *

Previous Employer #2

Previous Employer #2 Phone

Reason for leaving Previous Employer #1 *

Previous Employer #1 Employment Dates *

Reference #2 Phone *

Relation to Reference #2 *

Have you ever been convicted of a Criminal Offense? (do not include traffic tickets) *

Yes

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. I acknowledge, by submitting this form, that I have read and understand these statements.

I agree

Ending Wage at Previous Employer #1 *

Describe your duties w/ Previous Employer #2

Supervisors Name at Previous Employer #1 *

Employment Dates w/ Previous Employer #2

Relation to Reference #1 *

Number of College Credit Hours

Is your citizenship or immigration status such that you can lawfully work in the U.S.? *

YES

Graduated?

Yes

Still Enrolled

Reference #1 Phone *

Your application will be considered active for 30 days. For consideration after that you must reapply *

I agree

Ending Wage at Previous Employer #2

Avg hours per week Previous Employer #1 *

May we contact Previous Employer #1 *

Yes

Date Available to Start *

Starting Wage at Previous Employer #2

Date of submission *

Previous Employer #1 Address *

Desired Status *

Full-Time

Part-Time

Resume (optional)

Previous Employer #1 Phone *

Supervisors Name at Previous Employer #2

Describe your duties at Previous Employer #1 *

How were you referred to us *

Starting Wage at Previous Employer #1 *

Graduated? *

Yes

Still Enrolled

Position(s) Held w/ Previous Employer #2

Reason for leaving Previous Employer #2

Why are you interested in working at this restuarant *

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