Employment

Employment Application

Contact Information
First Name*
Last Name*
Middle Name
Other name under which employed
Address*
City*
State*
Zip*
Home Phone*
Message Phone
Email
Are you 16 years of age or older?
- Yes
- No
Do you have a legal right to work in the U.S.?*
- Yes
- No
Placement Information
Position for which you are applying*
Other - Please specify
Wage Rate Required
(per hour)
Total Hours Needed per Week
If you are applying for a server/bartender job, you must be old enough to serve or handle liqour.
Can you establish that age if offered a job?*
- Yes
- No
List skills you have related to the job you are seeking:
Hours Available
From
Mon Tues Wed Thur Fri Sat Sun
To
Mon Tues Wed Thur Fri Sat Sun
Do you have reliable transportation?*
- Yes
- No
When could you start work?*
Month
Day
Year
Are you able to perform the essential functions of the job you are seeking?
- Yes
- No
General Information
Have you ever applied here?*
- Yes
- No
If yes, when?
Have you ever been fired?*
- Yes
- No
If so, explain
Have you ever been convicted of a crime, received deferred adjudication, pled no contest, or been placed on probation for a crime (other than minor traffic violations)?*
- Yes
- No
If yes, explain in detail:
*(a yes answer is not an automatic disqualification)
If you are applying for a back of the house position, can you, with or without accomodation: lift and carry sacks and cases up to 70 lbs up to 20 times per shift; frequently bend, stoop, reach; stand for 6-8 hrs; and, hear co-workers' or managers' requests above loud background noise?
- Yes
- No
If you are applying for a front of the house position, can you, with or without accomodation: lift up to 30 lbs; reach, bend stoop; stand/walk for 6-8 hours; and, hear guests' requests above loud background noise?
- Yes
- No
Education/Qualifications
Please list any education, qualifications, training, or specialized experience you feel relates to the job you have applied for and which would help you perform the work. list schools, diplomas, degrees, vocational training, licenses, military training, etc.
School Location Diploma, Degree, Licenses, Training, etc.
Employment History
May we contact your present employer?
- Yes
- No
Begin with most recent or present employer, include military, self employment, etc.
Company 1
Company Name Supervisor's Name Phone Number Address
Job Title
(describe your work)
Employed From
Month
Day
Year
Employed To
Month
Day
Year
Weekly Pay
Reason for Leaving
Company 2
Company Name Supervisor's Name Phone Number Address
Job Title
(describe your work)
Employed From
Month
Day
Year
Employed To
Month
Day
Year
Weekly Pay
Reason for Leaving
Company 3
Company Name Supervisor's Name Phone Number Address
Job Title
(describe your work)
Employed From
Month
Day
Year
Employed To
Month
Day
Year
Weekly Pay
Reason for Leaving
Please read before verifying
I certify that the information provided in this application by me is correct. I understand that all information provided on this application is subject to verification. I understand that any offer of employment is conditioned upon this verification of information and any offer of employment is further conditioned upon furnishing satisfactory evidence of identity and legal authority to work in the united states. If hired, I understand that if it is found that I falsified any information on this application, on any resume or during any interview, it may result in my immediate termination of employment. I understand that nothing contained in this employment application or in the granting of an interview creates an employment contract between RJ's Eatery and myself for employment. If an employment relationship is established, I understand that I have the right to terminate my employment at any time, and that RJ’s Eatery retains the same right. This communication in no way constitutes a contract or agreement for employment. Accordingly, neither the uniform electronic transaction act, the electronic signatures in global and national commerce act, nor any other similar laws apply to this communication.
Name Verification*
(first and last name)
Date Verification*
MM slash DD slash YYYY
RJ’s eatery is an equal opportunity employer and complies with all discrimination laws. All qualified applicants receive consideration for employment without regard to sex, religion, race, color, national origin, age, disability or other classification protected by law. All offers are conditioned upon furnishing satisfactory evidence of identity and legal authority to work in the united states. Information on this application will not be used for any purpose prohibited by law.
Name
This field is for validation purposes and should be left unchanged.