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 Food & Beverage
  
 

  

  
  
 

  

  
  
  

  

 
  
 

  

 


 Position Desired:         Date:   


WE ARE AN EQUAL OPPORTUNITY EMPLOYER
APPLICANT'S STATEMENT

I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages.  I further understand that I have the right to terminate my employment at any time with or without notice, and the Company has the same right.  No one other than the President of the Company has authority to modify this relationship or make any agreement to the contrary.  Any such modification or agreement must be in writing.

I understand that the Company reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law.  I authorize the Company to investigate my driving record, my criminal record and my credit history.  I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. 

I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and other information pertinent to my employment with them.  I also authorize the Company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information.

Date:     Signature of Applicant:    

  

PERSONAL DATA
 Name:        
 
Last
First
Middle
  
Present Address:    
 
Street & Number
City
State
  
       
                Zip  
Telephone No.:    Are you 18 years of age or older?        
In Case of emergency, notify:    
 Telephone No.:          
Have you ever worked for this company before?      
If Yes, please give dates & position:     
 
         
Do you have any friends or relatives working here?       
                              Name:                                  Relationship:   
Have you ever pleaded 'no contest' or been convicted of a crime?          
If Yes, please give date and details of each.      
 

Note: Answering "Yes" to this question does not constitute an automatic bar of employment. 
Only those crimes which are substantially related to the position you are seeking will be considered.

  
EDUCATION      
 
Name And Address
How Many Years Attended
Graduated
Course or Major
High School                
College                
Other skills,seminars or supplimental education                
 
         
Shifts Available for: (check appropriate shift column)      
Tuesday:          Saturday:  
Wednesday:        Sunday:       
Thursday:         
 
         
PREVIOUS EMPLOYMENT      
Last or Present Position        
                              Company:                    Street:        
  City:          State:      Zip:         
   From:  :       to    Earnings: 
  Supervisor's Name and Poisition:                  
  Tel. No:   Title or Position:    
                  Reason for leaving:   
Next to Last Position         
                               Company:                    Street:     
  City:         State:    Zip:           
  From:         to:     Earnings:  
  Supervisor's Name and Position:                 
  Tel. No:   Title or Position:   
       
                   Reason for leaving:  
         
Please explain fully any gaps in your employment history:   
         
PERSONAL REFERENCES        
GIVE NAME, ADDRESS, AND TELEPHONE NUMBER OF TWO PERSONS (not relatives or former employers) to whom we can refer:  
Name:     Address:     Phone:   
Name:     Address:     Phone:   		  
May we contact your current employer?:              
 If No, please explain:      
         
THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF THIRTY (30) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.  
         
 I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE AND ACCURATE.  
         
Date:            Signature of Applicant: