January ****
Wienerschnitzel
Employment Application
Applicant Information
Full Name: Date:
Last First M.I.
Address:
Street Address Apartment/Unit #
City State ZIP Code
Phone: Cell: Email
Date Available: Social Security No.:
Position Applied for:
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
Have you ever applied or worked for this
company?
YES
NO
If yes, when?
Summarize any special skills and qualifications acquired form employment or other experiences that may qualify you to work with our company.
Availability: List the hours you are available to work, then circle your preferred times. Please be specific.
Sun Mon Tue Wed Thur Fri Sat
Day
Night
Total Hours Desired:
Education
High School: Address:
Did you graduate?
YES
NO
Diploma::
College: Address:
Did you graduate?
YES
NO
Degree:
Employment
Company: Phone:
Address: Supervisor:
Job Title:
Responsibilities:
From: To: Reason for Leaving:
If presently employed, may we contact employer?
YES
NO
2
January 2018
Employment (Con’t)
Company: Phone:
Address: Supervisor:
Job Title:
Responsibilities:
From: To: Reason for Leaving:
May we contact your previous supervisor?
YES
NO
What other skills or training do you have which would be helpful to work for us? References
Please list two references (not employer or relative). Full Name: Relationship:
Address: Phone:
Full Name:
Address: Relationship:
Phone:
Disclaimer and Signature
It is understood and agreed upon that my misrepresentation by me on this application will be sufficient cause for dismissal. Furthermore, I understand that I am free to resign at any time and that the Employer reserves the right to terminate my employment at any time with or without cause and without prior notice. I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer for seeing such information and all others persons, corporations or organizations for furnishing such information.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application. I have read and understand the above statements.
Signature: Date: