Culinary Application
First Name *
Last Name *
Street Address *
City *
State *
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AL (Alabama)
AK (Alaska)
AZ (Arizona)
AR (Arkansas)
CA (California)
CO (Colorado)
CT (Connecticut)
DE (Delaware)
DC (District of Columbia)
FL (Florida)
GA (Georgia)
HI (Hawaii)
ID (Idaho)
IL (Illinois)
IN (Indiana)
IA (Iowa)
KS (Kansas)
KY (Kentucky)
LA (Louisiana)
ME (Maine)
MD (Maryland)
MA (Massachusetts)
MI (Michigan)
MN (Minnesota)
MS (Mississippi)
MO (Missouri)
MT (Montana)
NE (Nebraska)
NV (Nevada)
NH (New Hampshire)
NJ (New Jersey)
NM (New Mexico)
NY (New York)
NC (North Carolina)
ND (North Dakota)
OH (Ohio)
OK (Oklahoma)
OR (Oregon)
PA (Pennsylvania)
PR (Puerto Rico)
RI (Rhode Island)
SC (South Carolina)
SD (South Dakota)
TN (Tennessee)
TX (Texas)
UT (Utah)
VT (Vermont)
VA (Virginia)
WA (Washington)
WV (West Virginia)
WI (Wisconsin)
WY (Wyoming)
Other
Zip Code *
Main Phone Number *
ex: 000-000-0000
Secondary Phone Number
ex: 000-000-0000
E-mail Address *
On what date would you be available to work? *
Month
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Have you ever been employed here before? *
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Yes
No
Are you looking for full-time or part-time work? *
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Part-Time
Full-Time
Would you accept either full-time or part-time work if offered? *
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Yes
No
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)? *
This question is not designed to elicit information about an applicant’s disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
Have you ever been fired or asked to resign from a job? *
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Yes
No
If yes, please explain.
Are you legally eligible for employment in the United States? *
- select -
Yes
No
If yes, proof is required if hired.
Educational Background
High School *
Location *
Course of study *
Did you graduate? *
- select -
Yes
No
Degree or diploma
College
Location
Course of study
Did you graduate?
- select -
Yes
No
Degree or diploma
Employment Experience
Employer #1 *
Contact Name *
Address *
Phone *
ex: 000-000-0000
Job Title *
Supervisor *
Employment Start Date *
Month
January
February
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December
Day
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Year:
Employment End Date
Month
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December
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Year:
I am still employed here.
Starting Pay Rate *
Ending Pay Rate *
Work Performed *
Reason for Leaving *
Employer #2
Contact Name
Address
Phone
ex: 000-000-0000
Job Title
Supervisor
Employment Start Date
Month
January
February
March
April
May
June
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September
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November
December
Day
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Year:
Employment End Date
Month
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December
Day
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Year:
I am still employed here.
Starting Pay Rate
Ending Pay Rate
Work Performed
Reason for Leaving
Employer #3
Contact Name
Address
Phone
ex: 000-000-0000
Job Title
Supervisor
Employment Start Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
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31
Year:
Employment End Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
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Year:
I am still employed here.
Starting Pay Rate
Ending Pay Rate
Work Performed
Reason for Leaving
Why should we hire you for this position? What would make you a valuable team member? *
Notice to Applicants and Employees
Screening tests for illegal drug use may be required before hiring and during your employment here.
I certify that all the information submitted by me on this application is true and complete, and I understand that if any false or misleading information, omissions, or misrepresentations are discovered, my application may be rejected, and if I am employed, my employment may be terminated at any time.
In consideration of my employment, I agree to conform to the company’s rules and regulations, and I understand that these rules and/or the employee handbook do not form a contract of employment either expressed or implied, and I agree that my employment and compensation can be terminated, with or without cause and with or without notice, at any time, at either my or the company’s option.
I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing.
Applicant's Agreement
I Agree