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Team Member
Oxford
,
MS
,
United States
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Application Form
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First Name *
Last Name
Email *
Phone *
Address *
Desired Position *
Why are you seeking a new job at this time? *
If hired, do you have a reliable means of transportation to get to work? *
--Select--
Yes
No
Are you at least 18 years old? * *
--Select--
Yes
No
No, but can furnish a work permit
Are you legally eligible for employment in the U.S. ? *
--Select--
Yes
No
Have you been convicted of a crime? *
--Select--
Yes
No
If yes, state the nature of the offense and disposition of the case. Include dates and places. *
List any special skills or training
Are you seeking full time, part time or temporary employment? *
--Select--
Full Time
Part Time
Temporary Employement
What hours and shift(s) would you prefer to work? *
List times you are not available to work? *
Are you willing to work overtime ? *
--Select--
Yes
No
Are you willing to work Weekends? *
--Select--
Yes
No
Are you willing to work during Football Games ? *
--Select--
Yes
No
Are you willing to work holidays? *
--Select--
Yes
No
Are you currently Employed? *
--Select--
Yes
No
If hired, when would you be able to start? *
Have you ever worked for a restaurant before? *
--Select--
Yes
No
If yes, what restaurant? *
Do you currently have a ServSafe Certification ? *
--Select--
Yes
No
List any friends or relatives employed by this company?
Have you ever been discharged or asked to resign from any position? *
--Select--
Yes
No
If yes, please describe: *
What is the highest level achieved *
--Select--
Elementary
Highschool
College
Other
Name of School *
If you have any college credit what is/was your Degree & Major *
Work History *
Company 1
Company 1 Address
Company 1 City, State, Zip
Company 1 Start Date
Company 1 End Date
Company 1 job Title
Company 1 Starting Salary
Company 1 Ending Salary
Company 1 Supervisors Name & Title
Company 1 Description of Duties
Company 1 Reason for Leaving ?
May we contact this employer ?
--Select--
Yes
No
Authorization & At-Will Employment Agreement: I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification for my dismissal from employment if discovered *
--Select--
Yes
No
Thanks for your time
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