Zarda BBQ Employment Application

Please fill out this form, then click submit

*Required Field

Date applied * / MM / DD YYYY
Location Applying For *
Position Applying For *
I can work * Full time Part time Temporary Permanent
Times I Can Work: * Holidays Evenings Days Nights Overtime Split Shifts Monday Tuesday Wednesday Thursday Friday Saturday Sunday Anytime
Check all that apply.
Personal Information
Name * First Last
Social Security Number *
Present Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email Address *
Phone - (###) - ### ####
Other Phone Number - (###) - ### ####
Have you ever worked under another name? * Yes No
If you answered yes, what name?
Employment Record

Record Last position first. Failure to accurately account for all periods during the last seven years may lead to your application not being considered.
Most Recent Place of Employment
Start Date * / MM / DD YYYY
Company Name/Address *
Job Titles and Duties *
Supervisor' Name * First Last
Supervisor's Phone Number * - (###) - ### ####
Supervisor's Email Address
Leave Date * / MM / DD YYYY
Reason For Leaving *
Other Place of Employment
Start Date * / MM / DD YYYY
Company Name/Address *
Job Titles and Duties *
Supervisor' Name * First Last
Supervisor's Phone Number * - (###) - ### ####
Supervisor's Email Address
Leave Date * / MM / DD YYYY
Have you ever been asked to resign or been fired for cause? * Yes No
Have you ever worked for Zarda BBQ before? * Yes No
If yes, when?
May we contact your previous employers? * Yes No
Education Information
Highest Level of Education * Less than 8 years 8 to 12 years 13 to 16 years More than 16 years
Name of High School
Degree Recieved
Course work
Name of Trade School
Degree Recieved
Course work
Name of college(s)/Universities
Degree Recieved
Course work
Are you older than 18? * Yes No
Are you older than 21? * Yes No
List the names of any relative(s) working for Zarda BBQ and their relationship to you.
Name - Relationship
If an alien, do you have legal right to be in the U.S.? * Yes No N/A
Have you ever been denied a bond? Yes No
If an alien, do you have the right to accept employment in the U.S.? * Yes No N/A
Upon employment, verification of legal employment will be required.
Have you ever been convicted of a felony or misdemeanor other than a traffic violation? * Yes No
Such conviction may be relavent (if job related, but does not bar you from employment.)
List additional names of people working here who you know well
Are you now or have you ever been in the military? * Yes No
Such conviction may be relavent (if job related, but does not bar you from employment.)
If yes, what branch of service?
Highest Rank Obtained
If in the reserves or national guard, are you Active Inactive
References

Please list three references who can vouch for your work ethics and character.
Reference #1 *

Please include Name, Relationship, Phone #, Years known, email address
Reference #2 *

Please include Name, Relationship, Phone #, Years known, email address
Reference #3 *

Please include Name, Relationship, Phone #, Years known, email address
Important - PLEASE READ CAREFULLY

I hereby authorize investigation of all statements contained in this application, including inquiry of any and all of my former employers or references as indicated elsewhere in the application, and hold said former employers and/or references harmless from liability arising therefrom. I affirm that all the information contained in this application is true and correct, and that any misrepresentation, falsification or omission herein shall be sufficient reason for
dismissal from, or refusal for employment. If employed, I understand that the company reserves the right to modify or terminate my employment at any time, with or without cause, and without prior notice. I further understand that the duration, hours, nature, compensation and benefits of my employment may be changed or modified from time to time without limitation or condition. I understand that no representative of the company has any authority to make any assertions to the contrary. I hereby agree to abide by all policies and rules of this company which govern dress, hair, grooming and attitude.
I understand and agree to the statement above * Yes No

Zarda BBQ Employment Application

Zarda BBQ Employment Application

Personal Information

Employment Record

Most Recent Place of Employment

Other Place of Employment

Education Information

References

Important - PLEASE READ CAREFULLY