Employment Application | Italian Kitchen Restaurant

Applicant Information

Name:

Date of Birth:

Street Address:

Apartment/ Unit #:

City:

State:

Zip Code:

Phone:

Email:

Date Available:

Desired Salary $:

Full-time or Part-time?

Hours Available?

Available Weekends?

Location:

Please indicate to which location(s) you are applying.

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 worked for this company?

Yes

No

If yes, when?

Have you ever been convicted of a felony?

Yes

No

If yes, please explain:

Education

High School:

Address:

From:

To:

Did you graduate?

Yes

No

Diploma:

College:

Address:

From:

To:

Did you graduate?

Yes

No

Degree:

Other:

Address

From:

To:

Did you graduate?

Yes

No

Degree:

References

Please list three professional references.

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Previous Employment

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $

Ending Salary: $

Responsibilities:

From:

To:

Reason For Leaving:

May we contact your previous supervisor for a reference?

Yes

No

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $

Ending Salary: $

Responsibilities:

From:

To:

Reason For Leaving:

May we contact your previous supervisor for a reference?

Yes

No

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary: $

Ending Salary: $

Responsibilities:

From:

To:

Reason For Leaving:

May we contact your previous supervisor for a reference?

Yes

No

Disclaimer and Signature

Signature

Reset Signature

Date

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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