PLEASE
FILL IN COMPLETELY
Today's
Date:
First
Name:
Last Name:
E-Mail Address:
Street Address:
City,
State, Zip:
IF
HIRED, CAN YOU FURNISH PROOF THAT YOU ARE ELIGIBLE TO WORK IN THE
UNITED STATES?
Yes:
No:
Have you applied here before?
Yes:
No:
If yes,
when?
Were you
ever employed here?
Yes:
No:
If yes,
when?
Total
hours you can work per week?
Date
you can start?
Salary
Expectation?:
Please
briefly describe your qualifications for
the positions you prefer:
(HOURS
OF OPERATION WILL BE: 7AM TO 10PM DAILY)
Hours you are available to work:
We will make an effort to accommodate
employees schedule needs,
but we cannot guarantee
a set or specific work schedule.
EDUCATION
High
School or GED (Name, Location):
Years completed
College
or University
Years completed
Diploma
or Degree
Vocational
or Technical:
Years completed
Diploma
or Degree
Advanced
and/or Specialized Education:
Years completed
Diploma
or Degree
For Driving Jobs Only:
Do you have a valid drivers license?
Yes:
No:
Have you ever been convicted of
any law violation?
(Include any plea of "guilty" or "no contest".
Exclude minor traffic violations)
(A conviction will not necessarily
disqualify
an applicant for employment).
Please list details:
List
employers in consecutive order with present or last employer listed
first. Account for all periods of time. Note: A job offer may be
contingent upon acceptable references from current or past employers
Employment
History
Latest
Employer:
Name
Address
City, State, Zip
Phone Number
Supervisor Name & Title
Position Title & Dates held
Position Duties
Pay (starting & ending)
Dates of employment
Reason For Leaving
Previous Employer:
Name
Address
City, State, Zip
Phone Number
Supervisor Name & Title
Position Title & Dates held
Position Duties
Pay (starting & ending)
Dates of employment
Reason For Leaving
Previous Employer:
Name
Address
City, State, Zip
Phone Number
Supervisor Name & Title
Position Title & Dates held
Position Duties
Pay (starting & ending)
Dates of employment
Reason For Leaving
PLEASE
ACCOUNT FOR any periods of
unemployment, with specific details
Are you
presently employed?
Yes:
No:
Please attach your resume here
Would
it be acceptable to contact your current employer?
Yes:
No:
If yes, whom do you suggest
we contact?
Have you ever been fired
from a job or asked to resign?
Yes:
No:
If yes, please
explain
Tell
of a time when you provided extraordinary customer service:
Do
you have or have you ever had any physical or other
limitation that would prevent you from doing the job
for which you are applying, including
lifting heavy boxes (over 25lbs.) etc.
If so, pelase describe:
Have you
worked or attended school under any other names?
Yes:
No:
If yes, give names
Please list three references,
not relatives or personal friends
Name
Address
Phone
Name
Address
Phone
Name
Address
Phone
AFFADAVIT, CONSENT AND RELEASE
Please read the following statements
carefully before submitting:
I certify that
all information provided in this employment application is true
and complete. I understand that any false information or omission
may disqualify me from further consideration for employment and
may result in my dismissal if discovered at a later date.
I authorize
the investigation of any or all statements contained in this application.
I also authorize, whether listed or not, any person, school, current
employer, past employers, and organizations to provide relevant
information and opinions that may be useful in making a hiring decision.
I release such persons and organizations from any legal liability
in making such statements.
I UNDERSTAND
THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT
EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT
NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE
PRESIDENT & CEO OF COMPANY HAS THE AUTHORITY TO ENTER INTO AN
AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT
MUST BE IN WRITING, SIGNED BY THE PRESIDENT & CEO AND THE EMPLOYEE.
IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF
THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH
OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.
I
have read and understand the above. By submitting I give consent
to these statements.