WRG APPLICATION FOR EMPLOYMENT & AVAILABILITY (3) (PDF)

APPLICATION FOR EMPLOYMENT
It is our policy not to discriminate against minorities, women or persons with
disabilities with respect to recruitment, hiring, training, promotion and other terms
and conditions of employment, provided the individual is qualified to perform the
work available.
Date_______________________

Name ________________________________________________________________
First
MI
Last

Current Address
______________________________________________________________________________________________________________________________
Street
City
State
Zip
E-Mail Address __________________________________________________________________________________________________
Current Cell Phone #_______________________________________ Cell Phone Carrier _____________________________________

Position Desired________________________________________ Date You Can Start ___________________________________
Date of Birth:_____/______/______
Do you possess a valid driver's license? Yes[ ] No[ ] Which state? _________________________________
Drivers license #______________________ Are you legally authorized to be employed in the USA? Yes[ ] No[ ]

Have you ever been convicted of a criminal offense? Yes[ ] No[ ] If yes, please explain
______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________

Education Information
Qualification
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or less,
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tell us
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present year
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4 Graduate
23
White Rabbit Gastropub.

Employment History
List all work experience beginning with your current or most recent position.
Company Name _________________________________________________ Employed from_________________ to __________________________
Address(Street, Address City, State, Zip) _______________________________________________________________________________
Name & Title of Immediate Supervisor_______________________________________________
Telephone_____________________________
Your Title ______________________________________________________
Reason for leaving ______________________________________________
Description of Responsibilities _________________________________________________________________________________________
Company Name _________________________________________________ Employed from_________________ to __________________________
Address(Street, Address City, State, Zip) _______________________________________________________________________________
Name & Title of Immediate Supervisor_______________________________________________
Telephone_____________________________
Your Title ______________________________________________________
Reason for leaving ______________________________________________
Description of Responsibilities _________________________________________________________________________________________
Company Name _________________________________________________ Employed from_________________ to __________________________
Address(Street, Address City, State, Zip) _______________________________________________________________________________
Name & Title of Immediate Supervisor_______________________________________________
Telephone_____________________________
Your Title ______________________________________________________
Reason for leaving ______________________________________________
Description of Responsibilities _________________________________________________________________________________________

May we contact the employers listed above? If not, indicate the one(s) you do not wish us to contact.
_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________

In addition to your work history, are there are other skills, qualifications, or experience we should consider:

______________________________________________________________________________
______________________________________________________________________________
Below, Please list three references not related to you:
Name:____________________________________ Phone:______________________ Relationship:____________________________
Name:____________________________________ Phone:______________________ Relationship:____________________________
Name:____________________________________ Phone:______________________ Relationship:____________________________

I certify that all statements made herein true and correct to the best of my knowledge. I authorize
investigation of all statements herein recorded. I release from liability all persons and organizations
reporting information required by this application.
Employee Signature

Date Signed

Your Permanent Availability
(Does Not Include request-Offs)
Mark the times you cannot work with an X;
if you cannot work that day as a whole, mark an X to the left of that day.

X

Example Availability:
An employee who can never work on Tuesday until 4pm, and can never work on Monday at all.
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WED
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DAY
FRI
DAY
SAT
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SUN
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Use this chart to mark your Permanent Availability
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