Mail Application to: Dine-N-Bowl
APPLICATION OF EMPLOYMENT
It is
the policy of this company to provide equal employment opportunities to all
qualified persons without regard to race, creed, color, religious belief, sex,
age, national origin, physical or mental handicap or veteran status.
Note:
Please type or print your answers.
If you print, please do so in blue or black ink and write neatly. An illegible application may preclude you
from consideration.
POSITION
APPLYING FOR: Kitchen Manager Bar Manager Bowling Manager
(pls circle one or more) Cook Server Bartender
Food Delivery Driver Mechanic
PERSONAL INFORMATION
First Name Middle
Initial Last
Name
Current Address:
Street and Apt. # City State Zip Code
Permanent Address (if different
from above):
Street and Apt. # City State Zip Code
Telephone: _________________________ E-mail:________________________
Social Security #: _____-_____-______ Driver’s License #:
I am an
U.S. Citizen or otherwise authorized to work in the
Ž Yes Ž No
If applicable, please list your visa type, visa # and expiration: ____________________________
Have you
ever been convicted of a crime in the past seven years (you are not obligated
to disclose sealed or expunged criminal records)? Ž Yes Ž No
If you answered yes, please explain:
Have you
ever served in the U.S. Military? Ž Yes Ž No
If yes,
please provide the following information:
Branch of
Service: ____________________ Rank at time of separation: __________________
I served
from _____________________ to ___________________________.
Special Honors:
EMPLOYMENT HISTORY:
Present or Most Recent Employer
Employer:
__________________________________ Address:
_______________________________________
Your Position:
_______________________________ Salary:
_________________________________________
Duties:__________________________________________________________________________________________
Dates of
Employment:_____________________ to _____________________________
Supervisor:_________________________ _____________________________ May we contact? Ž Yes
Ž
No
Name Title
Reasons for
Leaving:_________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Prior Employer
Employer:
__________________________________ Address:
_______________________________________
Your Position:
_______________________________ Salary:
_________________________________________
Duties:__________________________________________________________________________________________
Dates of
Employment:_____________________ to _____________________________
Supervisor:_________________________ _____________________________ May we contact? Ž Yes
Ž
No
Name Title
Reasons for
Leaving:_________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Prior Employer
Employer:
__________________________________ Address:
_______________________________________
Your
Position: _______________________________ Salary:
_________________________________________
Duties:_______________________________________________________________________________
Dates
of Employment:__________________ to _________________________
Supervisor:_____________________ _______________________ May we contact? Ž Yes
Ž No
Name Title
Reason for leaving:
_____________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
EDUCATION
High School
_____________________________________________________________________________
Name and Address
Did you graduate? o Yes
o No Attended from _________ to
_________.
If you did not
graduate, did you receive your GED? o Yes
o No
Special honors or awards:______________________________________________________
Technical or Vocational School
_____________________________________________________________________________
Name and Address
Did you graduate? o Yes
o No Attended from __________ to _________.
Degree or
Certification:_____________________
Specialty: ________________________
Special honors or
awards:_______________________________________________________
College or University
____________________________________________________________________________
Name and Address
Did you graduate? o Yes
o No Attended from __________ to
_________.
Degree:________________________ Major: _______________________________
Special honors or
awards:______________________________________________________
College or
University
____________________________________________________________________________
Name and Address
Did you graduate? o Yes
o No Attended from __________ to
_________.
Degree:________________________ Major: _______________________________
Special honors or
awards:______________________________________________________
POSITION INFORMATION:
Position
Applying For: ____________________________________________________
How did you
hear about this job? __________________________________________
What hours
are you willing to work? ________________________________________
Would you
be able to work weekends? Ž Yes Ž No
Are you
willing to travel for the job? Ž Yes Ž No
When would
you be able to start? _________________________________
Desired salary: ________________ per ______________
Skills
Please describe any skills you have
in the following areas:
Computer:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Languages Spoken (other than
English): _____________________________________________________________________________________
Other:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
I hereby certify that my answers and assertions set forth in
this application are true and complete to the best of my knowledge. If I am
employed, I understand that any false statements on this application shall be
considered sufficient cause for my dismissal. I hereby authorize this company
to investigate any aspect of my prior educational and employment history.
Furthermore I understand that if I am hired, employment with
this company is "at will," which means that either the company or I
can terminate my employment for any reason not prohibited by state or federal
law.
Signature:
________________________________ Date ________________