Job Application - Pannastores

Applying for which position?

Restaurant Location

EMPLOYEE INFORMATION

First Name

Middle Name

Last Name

Telephone

Alternate Telephone

Mailing Address

Are you able to perform the essential functions of the position with or without accommodations?

Yes No

I am legally eligible for employment in the U.S.?

Yes No

I am seeking a permanent position:

Yes No

Can you provide a valid Driver's License?

Yes No

If so, fill out the following:

EMPLOYMENT HISTORY (Most Recent Employment, No more than 10 years).
Job 1

Employer Name

Employer Address

Start Date

End Date

Position Title

Telephone

Duties

Reason for leaving

Skills

Supervisor

Pay Per Month $

Job 2

Employer Name

Employer Address

End Date

Start Date

Position Title

Telephone

Duties

Reason for leaving

Skills

Supervisor

Pay Per Month $

Summarize other employment related to this job:

EDUCATION HISTORY
High School

Institution Name

Years Completed

Fields of Study

Graduate or degree

Business/Technical

Institution Name

Fields of Study

Years Completed

Graduate or degree

College/University

Institution Name

Fields of Study

Years Completed

Graduate or degree

Additional

Institution Name

Fields of Study

Years Completed

Graduate or degree

MILITARY

Are you a veteran?

Yes No

Duty/Specialized Training

SKILLS & QUALIFICATIONS

Other qualifications such as special skills, abilities or honors that should be considered:

Types of computers, software, and other equipment you are qualified to operate or repair:

Professional licenses, certifications or registrations:

Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employer’s attention:

PERSONAL REFERENCES

Reference 1

Name

Address

Telephone

Occupation

Years Known

Reference 2

Name

Address

Telephone

Occupation

Years Known

INFORMATION TO THE APPLICANT

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.

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