Full Name

Date:

Position Applying For: Position Applying For:Wok CookLine CookCashier / Packs TOGOServerDishwasher

Desire Salary

SSN:

Address (Street, City, State, Zip Code)

Cell Phone:

Alternate Tel:

Email:

Date Of Birth:

Lunch Time Availability Lunch Time Availability Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Dinner Time Availability Dinner Time Availability Monday Tuesday Wednesday Thursday Friday Saturday Sunday

What is your highest level of education What is your highest level of educationHigh SchoolAssociate DegreeBachelor DegreeMaster Degree

Name and Location

Are you a US Citizen or do you have legal right to work in the US? Are you a US Citizen or do you have legal right to work in the US? Yes No

Have you ever been released or forced to resign from any employment? Have you ever been released or forced to resign from any employment? Yes No

If yes, please explain:

Have you ever been convicted a crime? Do not include minor traffic violation, marijuana-related convictions dated more than two years old, convictions that have been judicially ordered sealed, expunged or statutorily eradicated, or misdemeanor convictuins which have been judicially dismissed pursuant to California Penal Code Section 1203.4. Have you ever been convicted a crime? Do not include minor traffic violation, marijuana-related convictions dated more than two years old, convictions that have been judicially ordered sealed, expunged or statutorily eradicated, or misdemeanor convictuins which have been judicially dismissed pursuant to California Penal Code Section 1203.4. Yes No

If you answered yes, please explain the offense(s) the date(s), and place(s) of conviction.

Current or Past Employer Name & Address:

Position Title:

Salary/Wage:

Major Duties:

Reason For leaving:

Employment Period

Want to add more experience? Want to add more experience?YesNo

Current or Past Employer Name & Address:

Position Title:

Salary/Wage:

Major Duties:

Reason For leaving:

Employment Period

List Three Past Achievements in Your Previous Jobs

Please Add Your Reference Here If You Have One. (Name, Address, Phone, Title, #Years Known)

I certify the information above is complete and accurate to the best of my knowledge. I authorize the individuals, companies, and agencies concerned to provide its company and its agents with all information necessary to verify the statement I have made in this application and I release them from any liability for so doing. I understand I must receive satisfactory references from previous employer, coworkers, and subordinated (if any) before an offer of emplyment can be made. I understand that incompleete or unsigned applications will not be considered and that false incomplete or misleading statements are grounds for my immediate discharged. I understand that any offer of employment is contingent upon my passing a prescribed physical examination, providing my documenting my right to work. I understand these policies cannot be changed except in writing. I certify the information above is complete and accurate to the best of my knowledge. I authorize the individuals, companies, and agencies concerned to provide its company and its agents with all information necessary to verify the statement I have made in this application and I release them from any liability for so doing. I understand I must receive satisfactory references from previous employer, coworkers, and subordinated (if any) before an offer of emplyment can be made. I understand that incompleete or unsigned applications will not be considered and that false incomplete or misleading statements are grounds for my immediate discharged. I understand that any offer of employment is contingent upon my passing a prescribed physical examination, providing my documenting my right to work. I understand these policies cannot be changed except in writing. Yes I agree No I dissagree