Application – Best Burgers Appleton | Friday Fish Fry Appleton | Places to Eat Appleton

BASIC INFORMATION

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Email

How long have you lived at the above address?

Are you eighteen years old or older?

Yes

No

If not, please enter your month/year of birth:

Any name changes this employer should know about to verify job or education history?

Yes

No

If yes, please list previous name(s):

Do you have transportation to and from work?

Yes

No

Are you authorized to work in the U.S.?

Yes

No

Position applying for:

Date you can start:

Salary desired:

Are you applying for:

Full Time

Part Time

Temporary Days

Only Nights

Only Days/Nights

Who recommended you for this position?

EDUCATION

HIGH SCHOOL

High School Name and Address:

High School Grade Completed:

Did you graduate high school?

Yes

No

COLLEGE/UNIVERSITY

College Name and Address:

College Grade/Degree Completed:

Did you graduate college?

Yes

No

MILITARY SERVICE SCHOOL

Military Service School Name and Address:

Military School Grade/Degree Completed:

Did you graduate?

Yes

No

MILITARY SERVICE

Are you a war veteran?

Yes

No

Military Branch:

From (Date): & To (Date)

Highest Grade:

PREVIOUS EXPERIENCE

Please check the kind of work you've done:

PREVIOUS EMPLOYMENT

Please list your last four employers, starting with your most recent.

Employer 1 Name:

Employer 1 Address:

Street Address

Employer 1 Phone:

Employer 1 Business Type:

Employer 1 Position:

Employer 1 Supervisor:

Employer 1 Title:

Employer 1 Start Date:

Employer 1 Date Left:

Employer 1 Salary:

Employer 1 Reason for Leaving:

EMPLOYER 2

Employer 2 Name:

Employer 2 Address:

Street Address

Employer 2 Phone:

Employer 2 Business Type:

Employer 2 Position:

Employer 2 Supervisor:

Employer 2 Title:

Employer 2 Start Date:

Employer 2 Date Left:

Employer 2 Salary:

Employer 2 Reason for Leaving:

EMPLOYER 3

Employer 3 Name:

Employer 3 Address:

Street Address

Employer 3 Phone:

Employer 3 Business Type:

Employer 3 Position:

Employer 3 Supervisor:

Employer 3 Title:

Employer 3 Start Date:

Employer 3 Date Left:

Employer 3 Salary:

Employer 3 Reason for Leaving:

EMPLOYER 4

Employer 4 Name:

Employer 4 Address:

Street Address

Employer 4 Phone:

Employer 4 Business Type:

Employer 4 Position:

Employer 4 Supervisor:

Employer 4 Title:

Employer 4 Start Date:

Employer 4 Date Left:

Employer 4 Salary:

Employer 4 Reason for Leaving:

PRE-EMPLOYMENT QUESTIONS

Are there any job duties that you would be unable to perform?

Is there anything we could do to accommodate you so you could perform all the required job duties?

Have you ever applied here before?

Yes

No

If yes, where?

If yes, when?

Are you employed now?

Yes

No

In case of emegency, please notify:

PRE-EMPLOYMENT QUESTIONS

By submitting this form I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the forgoing inquiries. By submitting this form I agree that I have read these statements and answers to these inquiries

By checking this box, I agree that I have read and understand the statements above, and that the answers I have provided are truthful to the best of my knowledge.

I Agree

Signature

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