Application for employment

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Please complete all questions below

PERSONAL INFORMATION

First name: *

Please enter your first name

Last name: *

Please enter your last name.

E-mail address: *

Please enter a valid e-mail address.

Phone number: *

Please enter a valid phone number you can be reached at.

Are you over the age of 21? *

Yes

Address: *

Please enter your current street address.

City: *

Please enter your current city.

State: *

Please enter your current state.

Zip code: *

Please enter your current zip code.

High school: *

Please enter the High school you attended.

Year of graduation: *

Please enter the year you graduated from High school.

Do you have reliable transportation? *

Yes

Were you referred by anyone?

If you were referred to us by anyone please enter their name.

EMPLOYMENT DESIRED

Position: *

Please choose the position you are applying for.

Date you can start: *

Please enter the date you can start this position.

YYYY

Desired pay: *

Please enter your desired amount of pay for this position.

Are you employed now? *

Yes

If yes, may we contact your current employer? *

Yes

Are you legaly authorized to work in the U.S.? *

Yes

EMPLOYMENT HISTORY 1

Employment History #1 Start Date

YYYY

Employment History #1 End Date

YYYY

Name of Employer:

Enter the name of your past employer.

Employer Phone number:

Pay:

Posistion(s) worked:

Reason for leaving:

Please let us know your reason for leaving this job.

Are you currently working here?

Yes

Clear selection

EMPLOYMENT HISTORY 2

Employment History #2 Start Date

YYYY

Employment History #2 End Date

YYYY

Name of Employer:

Employer phone number:

Pay:

Position(s) worked:

Reason for leaving:

Please let us know your reason for leaving this job.

Are you currently working here?

Yes

Clear selection

PERSONAL REFERENCES

List the names of 3 people not related to you, whom you have known at least 1 year.

Reference name: *

Reference phone number: *

How do you know this person? *

Number of years known? *

AVAILABILITY

Please enter the hours your are available to work each day.

Monday: *

Tuesday: *

Wednesday: *

Thursday: *

Friday: *

Saturday: *

Sunday: *

CRIMINAL HISTORY

Have you been arrested before? *

Yes

If yes to previous question please explain:

CERTIFICATION CARD

Please Check any certifications you curently hold:

M.A.S.T. (WA STATE) Certification (Liquor card)

Pierce County Health Dept. Food handlers Permit

City of Tacoma security permit

AUTHORIZATION

“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for termination.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal laws.”

Todays Date: *

Electronic Signature: *

By typing your name you are signing this document.

Submit

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