Application for Employment – Drover Restaurant

Name

First

Last

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Mobile Phone

Email

Home Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date of Application:

Enter Today's Date

If Granted An Interview - Will You Provide Your Social Security Number:

Prior to being hired, The Drover will require you to provide your SSN

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Position You're Applying For:

List the position you are interested in applying for

Can You Perform the Duties of the Job You're Applying For:

You will be asked to demonstrate you're physically & mentally able to perform the functions of this job

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Date You're Available to Start Work

List the date you can begin work

Can You Lawfully Work in the U.S.?

Proof of lawful work status will be required upon employment

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Education Level

What is the highest level of eduction you've completed

Briefly Describe the Nature of Your Degree:

PREVIOUS WORK HISTORY

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Are You Currently Employed?

List Where You're Currently Working:

List the Company name, address, phone & website

Current Salary:

Show as a dollar amount per hour or, in the case of a salaried position, your annual salary

Current Job Title:

When Did You Begin Working for Current Employer?

If you don't know the exact date - pick any day within the month

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May We Contact Your Current Employer?

If "No" Briefly Explain Why:

Let us know why you don't want us to contact your existing employer

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Current Supervisor's Name

Note: If you checked "No" above, we will NOT contact your current employer

Why Are You Interested in Leaving Your Current Employer?

Provide a brief explanation of why you are seeking employment with The Drover

List Your Current Duties

Explain what functions you currently perform

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Second Most Recent Employer

Provide the name, address, phone & website of your second most recent employer

Job Title

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Last Salary While With This Employer

Show as a dollar amount per hour or, in the case of a salaried position, your annual salary

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Date You Began Employment with This Employer

If you don't know the exact date - pick any day within the month you began working for this employer

Briefly Describe Why You Left Employment With This Employer

Date You Left Employment With This Employer

If you don't know the exact date - pick any day within the month you left employment with this employer

Describe Your Duties With This Employer:

Briefly describe the functions you performed for this employer

REFERENCES

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Name of Individual Reference #1

Include only individuals familiar with your work ability. Do NOT include relatives

Phone Number of Reference #1

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Email of Reference #1

Years Reference #1 Has Known You

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Name of Reference #2

Include only individuals familiar with your work ability. Do NOT include relatives

Phone Number of Reference #2

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Email of Reference #2

Years Reference #2 Has Known You

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List Any Skills, Licenses, Certificates, etc. That Will Help You In This Job:

If you have special skills or designations that may set you apart from other applicants, please list them here

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Have You Previously Applied to The Drover?

Have You Previously Been Employed by The Drover?

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Have You Ever Been Convicted of a Felony?

If "Yes" Give Date and Describe:

Are You 18 Years or Older?

By checking "I Have Read and Accept, Certify & Authorize" (below) you accept and certify you have read and understand the information contained in this Employment Application and that the answers and statements given by you on this application are complete and true to the best of your knowledge and belief. You understand that employment with The Drover Restaurant, if offered, will be at-will and may be terminated at any time for any reason, with or without notice or cause, by you or The Drover Restaurant. You also understand that this arrangement may be changed only in writing, which is signed by the Manager of The Drover Restaurant. You understand that, if employed, you may from time to time receive wage increases, promotion, disciplinary action, performance evaluations, and the like, and that none of this is intended to alter the at-will nature of your employment.

Finally, you "Accept, Certify & Authorize" (below) that you authorize The Drover Restaurant and/or its agents, including consumer reporting bureaus, to verify any of the information you have given in this application for employment including, but not limited to, criminal history and motor vehicle driving records. You further authorize all persons, schools, companies and law enforcement authorities to release any information concerning your background and hereby release any said person, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information.

Electronic Signature

I have Read and Accept, Certify & Authorize
I Do NOT Accept, Certify or Authorize

By checking "I have Read and Accept, Certify & Authorize" I confirm I have read and agree to all terms outlined in this Employment Application

EMPLOYMENT OPPORTUNITIES

PREVIOUS WORK HISTORY

REFERENCES