Employment Application Application for Employment Employment Application <p style="text-align: center;">Application for Employment This application for employment shall be considered active for a period of time not to exceed 45 days from the date of this application.</p> <p><center>We are an Equal Opportunity Employer and consider applicants for all positions without regard to race, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.</center></p> Date Applicant Contact and General Information arrowup6 How Did You Learn About Us? * Advertisement Friend Walk-In Employment Agency Relative OtherOther Position(s) Applied For: * Day Prep Bar Tender Busser Line Cook Pantry Manager Server Hostess Sous Chef Prep Cook Dish Washer Maintenance OtherOther Name Name First Name First Name Last Name Last Name Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone * Emergency Phone * Email * Last Four Digits of Your Social Security Number * Employment Questions arrowup6 If you under 18 years of age, can you provide required proof of eligibility to work? * Yes No If you answered yes to the above, are you at least 16 years of age? * Yes No If a job offer is made, can you provide proof of Your eligibility to work in the United States? * Yes No Have you ever been employed with us before? * Yes No If yes, provide dates * Are you currently employed? * Yes No On what date would you be available for work? * Are you available to work: * Full Time Part Time Temporary Are you currently on “lay-off” status and subject to recall? * Yes No Have you been convicted of a felony within the last 7 years? * Yes No (A conviction record will not necessarily be a bar from employment. Factors such as age and time of offense, seriousness and nature of the violation, and rehabilitation will be taken into account.) If yes, please explain: * Describe any specialized training or skills applicable to the job you are applying for Hours You Can Work arrowup6 Tuesday From: 121234567891011 : 0030 AMPM Tuesday To: 121234567891011 : 0030 AMPM Wednesday From: 121234567891011 : 0030 AMPM Wednesday To: 121234567891011 : 0030 AMPM Thursday From: 121234567891011 : 0030 AMPM Thursday To: 121234567891011 : 0030 AMPM Friday From: 121234567891011 : 0030 AMPM Friday To: 121234567891011 : 0030 AMPM Saturday From: 121234567891011 : 0030 AMPM Saturday To: 121234567891011 : 0030 AMPM Total hours available per week: * * Preferred hours per week: * Employment Experience arrowup6 Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status. Employer-1 Employer 1 Address * Employer 1 Address Employer 1 Address Employer 1 Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Employer Phone * Job Title * Duties Performed * Supervisor’s Name * Hourly Rate/Salary * Date Employed From: * Date Employed To: * Employer - 2 Employer 2 Address * Employer 2 Address Employer 2 Address Employer 2 Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Employer Phone * Job Title * Duties Performed * Supervisor’s Name * Hourly Rate/Salary * Date Employed From: * Date Employed To: * Employer-3 Employer 3 Address * Employer 3 Address Employer 3 Address Employer 3 Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Employer Phone * Job Title * Duties Performed * Supervisor’s Name * Hourly Rate/Salary * Date Employed From: * Date Employed To: * Education arrowup6 High School High School Address High School Address High School Address High School Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal College / Other College / Other Address College / Other Address College / Other Address College / Other Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Personal References arrowup6 Name * Name First Name First Name Last Name Last Name Phone * Relationship * Name Name First Name First Name Last Name Last Name Phone Relationship APPLICANT STATEMENT Statement * I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision which includes verification of educational and/or employment information which I have supplied. This application for employment shall be considered active for a period of time not to exceed 45 days from the date of application. If I wish to be considered for employment beyond this time period I should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at-will” nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause within the limits of the law. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by Ricotta and Ricotta, INC. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the employer. Proof of citizenship or immigration status will be required upon employment. Signature * signature keyboard Clear CONSENT AND AUTHORIZATION TO RELEASE EMPLOYMENT/EDUCATIONAL INFORMATION Date File Upload Drop a file here or click to upload Choose File Maximum file size: 50MB Captcha Submit If you are human, leave this field blank.
