Employment Application Please complete the form below to apply for a position with Burke's Pub or Personal Information

Transcription

1 Employment Application Please complete the form below to apply for a position with Burke's Pub or NOTICE: Applicant should read the following information very carefully before filling out any of the questions on this form. We are an equal opportunity employer and fully subscribe to the principles of equal opportunity; all qualified applicants will receive equal consideration. It is our policy to seek and employ the best qualified personnel without regard to race, creed, color, national origin, religion, age, sex, disability, or any other basis protected by either state or federal law. Information on this application will not be used for any purpose prohibited by law. Questions indicated with * are required for application submission. Location Applying For: * Maple St. Omaha, NE Burke's Pub 6117 Maple St. Omaha, NE All Locations Position Applying For: * Bartender Server Bar back Security Kitchen Staff Management Other Personal Information Full Name * First Name Middle Name Last Name Social Security Number * Are you over the age of 21? *, Indicate date of birth below*. *If not over 21; Date of Birth 1/7

2 Address * Street Address Street Address Line 2 City State / Province Postal / Zip Code United States Country Home Cell * E mail * ex: myname@example.com If hired, what date could you start? * 06 Month 03 Day 2015 Year Please indicate the hours and days you are available. From: Monday Tuesday Wednesday Thursday Friday Saturday Sunday To: Approximately how many hours per week would you like to work? Are you legally authorized to work in the U.S.? * Have you ever been convicted of a felony? * If yes, please give details. A yes answer will not automatically exclude you from employment. Have you been arrested for any matter that is pending trial? * 2/7

3 If yes, please explain. Do you have adequate transportation to be at work, on time, when scheduled to work? * Do you have a valid Drivers License? * Burke s Pub and 1912 pay via direct deposit. Do you have a checking account? * Education High School: * City & State * Did you Graduate? * If yes, what year? GED: N/A Did you attend any college? * If yes, School Name: City & State: Years Attended: Course of Major Study: Did you Graduate? Employment Record List below, the names of your previous employers with present or last listed first Present or Last Employer (1) * 3/7

4 Employed from: * To: * Address * Street Address Street Address Line 2 City State / Province Postal / Zip Code United States Country If still employed, may we contact this employer? * Supervisor: * Your Position and Duties: * Starting pay; indicate by hour, * Ending pay; indicate by hour, * Reason for leaving: * Prior employer (2) Employed from: To: Address & Phone #: 4/7

5 Supervisor: Your Position and Duties: Starting pay; indicate by hour, Ending pay; indicate by hour, Reason for leaving: Prior employer (3) Employed from: To: Address & Phone #: Your Position and Duties: Supervisor: Starting pay; indicate by hour, Ending pay; indicate by hour, Reason for leaving: Additional Information Please indicate the kind of work you have done: * 5/7

6 Bartender Bar Back Wait Staff/Server Bus Tables Food Prep Chef Kitchen Help Dishwasher Host/Hostess Door Security None of the Above Your Remarks or Special Qualifications, Additional Training or Experience that would apply to this Position. Are there duties you would be unable to perform? * No Yes, Please specify below*: *Please explain Upload Resume if available Choose File No file chosen References Please do not use family members. 1) Full Name * First Name Last Name * Relationship? * 2) Full Name * First Name Last Name * Relationship? * 3) Full Name * First Name Last Name * 6/7

7 Relationship? * By submission, I hereby state that all the information provided on this application is true and correct and that my signature will be required at the time of an interview. I authorize Burke's Pub and/or 1912 to investigate my responses on this application and contact any or all of my former employers (except as noted) or any individuals familiar with me or my employment background for the purpose of verifying any information I have provided. Check this box to certify that you have read and accept the above statement. * Yes Enter the message as it's shown * 7/7