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Employment (Valparaiso, IN)

Burgerhaus | Employment Application (Valparaiso)

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THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of the company to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination. This application will remain active for 3 years.
Name*
First Last
Email*
Contact Phone*
Address*
Street Address City State ZIP Code

Education
High School*
Location of School*
Diploma*
- Yes
- No
Continued Education
College / University / Trade School
Location of School
Type of Degree / Certification
Area of Study
Diploma
- Yes
- No

Applicant Questions
Position you are applying for*
Date you can start*
Date Format: MM slash DD slash YYYY
Do you prefer?*
Can you work
- Weekends
- Days
- Evenings
Availability
- Mondays
- Tuesdays
- Wedsnesdays
- Thursdays
- Fridays
- Saturdays
- Sundays
Are you at least 18 years of age and legally eligible to work for our company in the United States?*
- Yes
- No
Have you worked for this business before?*
- Yes
- No
If so, when?*
Date Format: MM slash DD slash YYYY
Have you received a description of the job or been made aware of the essential functions of the job for which you are applying?*
- Yes
- No
Do you understand the job requirements?*
- Yes
- No
If no, please explain*
Are you on layoff or subject to recall?*
- Yes
- No
Have you ever been discharged or asked to resign from a job?*
- Yes
- No
If yes, please explain*
Have you ever been convicted of or pled guilty to a felony or crime other than a minor traffic citation?*
- Yes
- No
If yes, please explain*

Employment History
Current or Previous Employer*
Supervisor Name & Position*
Employer Phone*
Start Date*
Date Format: MM slash DD slash YYYY
End Date*
Date Format: MM slash DD slash YYYY
Title / Position Held*
Duties / Responsibilites*
Reason for Leaving*
Are you currently employed here?*
- Yes
- No
If yes, may we contact them?*
Past Employment
Previous Employer
Supervisor Name & Position
Employer Phone
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Title / Position Held
Duties / Responsibilites
Reason for Leaving

References
Reference Name*
Relationship*
Address*
Street Address City State ZIP Code
Contact Phone*
Reference #2
Reference Name*
Relationship*
Address*
Street Address City State ZIP Code
Contact Phone*
Reference #3
Reference Name*
Relationship*
Address*
Street Address City State ZIP Code
Contact Phone*

Attach Resume (Upload File)
Applicant Agreement
1. The company and other persons or employers are released from all liability brought forth by any investigation resulting from my submission of this electronic application and the data contained here in.
2. The information in this application is true and complete to the best of my knowledge. Any falsification, misrepresentation, or omission on this application can be cause for denial or termination of employment.
3. If hired, my employment is voluntary, meaning that either party can employment at any time for any reason. Upon acceptance of employment if a position is offered, I agree to abide by all existing and future company rules and regulations. The company reserves the right to change any working agreement as deemed necessary.
4. Any employment offer is contingent open my providing proof of identity and eligibility to work the country of employ.
5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.
6. I understand that by typing my name in the signature box below and submitting this application electronically, this becomes a legal and binding contract.
Applicant Signature

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