Employment Application



Location of Employment:
Dock's Oyster House Harry's Oyster Bar
The Knife & Fork Inn Linwood Country Club
Applicant Name:
Date:
Position Applied For:
Address:
Address Line 2:
Home Phone:
Mobile Phone:
E-mail:
Date Available:
Type of Employment:
Full-Time Part-Time Temporary
Are there any days or
hours you cannot work?
Do you have any objection to
working overtime if necessary?
Yes No
Can you submit proof of legal
employment authorization and identity?
Yes No
Education (last grade completed):
List any coursework relevant to the desired job:
How were you referred by this company?
Have you ever been employed by this company before?
Yes No
Are you 18 years of age or older?
Yes No
If you are under the age of 18, can you supply working papers?
Yes No
Have you ever been discharged from any employment or asked to resign (if Yes, please explain)
Yes No
Driver's License Number and State
(Only if applying for a postion which requires a driver's license)
Wages/Salary Expected


Provide all employment information for your past 4 employers starting with the most recent


Employer:
Position held:
Address:
Telephone number:
Immediate supervisor and title:
Dates employed from:
Dates employed to:
Reason for leaving:

Employer:
Position held:
Address:
Telephone number:
Immediate supervisor and title:
Dates employed from:
Dates employed to:
Reason for leaving:

Employer:
Position held:
Address:
Telephone number:
Immediate supervisor and title:
Dates employed from:
Dates employed to:
Reason for leaving:

Employer:
Position held:
Address:
Telephone number:
Immediates supervisor and title:
Dates employed from:
Dates employed to:
Reason for leaving:


List 3 references names, telephone numbers, and
years known (do not include relatives or employers):


Name 1:
Phone Number 1:
Name 2:
Phone Number 2:
Name 3:
Phone Number 3:

Notification & Agreement Please read before clicking “submit”

I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.

The application will be given every consideration, but its receipt does not imply that the applicant will be employed.

I authorize the investigation of all statements and information contained in this application, including but not limited to inquiries related to my education, relevant licenses, prior employment, credit and other information required by the company. I release from all liability anyone supplying such information, and I also release the employer from all liability that might result from making an investigation.

If hired, I agree to abide by all of the company rules and regulations and understand that, if employed, my employment may be terminated with or without cause and with or without notice, at any time, at the option of either the company or me. I further understand that no representation, whether oral or written by any representative or agent of the company, at any time, can constitute a contract of employment.

By clicking submit, I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.

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