Instructions to Applicant: Please understand: Every Item on this form must be answered to the best of your ability. Your qualifications will be reviewed and you will be given consideration for any suitable vacancies. If you are employed, this will become part of your permanent personnel record. No question is asked for the purpose of excluding any applicant due to protected class status, or any other class of individuals protected by law. If you require assistance in order to complete this application, please let us know.

PERSONAL:

First Name:

Middle Name:

Last Name:

Street Address:

City:

State:

Zip:

Telephone:

Are You 18 or Older?

 Yes   |   No

Are you legally authorized to work in the United States?   Yes   |   No

EDUCATION:

High School (Name/Address):

Did you graduate?

 Yes   |   No   -   If no, last grade completed:

College (Name/Address):

Other (Name/Address):

Did you graduate?

 Yes   |   No   -   If no, # of hours completed:

Degree:

Major:

Minor:

Date expected to graduate:

GENERAL EMPLOYMENT INFORMATION:

Were you previously employed with Cruizers/Holmes Oil?    Yes   |   No

If yes, when?

 -

If yes, what location?

Last job held:

Position Applying For:

Are you willing to relocate?

 Yes   |   No   -   If yes, where:

Have you ever been convicted of a crime other than a minor traffic violation?

 Yes   |   No   -   If yes, please explain:

Do you have reliable transportation?

 Yes   |   No

Type of employment sought:

 Full time   |   Part time   Temp   |   Summer

Date Available:

Salary Acceptable:

Total Hours Available Per Week:

 

Most restaurant employees are required to work a schedule which includes some morning, some evenings and some weekends. Are you willing to accepts such a schedule?   Yes   |   No

IF NO, are you willing to work:    Days-

 Yes   |   No

Evenings-

 Yes   |   No

Weekends-

 Yes   |   No

Holidays-

 Yes   |   No

Indicate hours you are available to work on the following days or check anytime, if applicable:

Mon:

 to      Anytime

Tues:

 to      Anytime

Wed:

 to      Anytime

Thurs:

 to      Anytime

Fri:

 to      Anytime

Sat:

 to      Anytime

List any relatives presently employed:

In case of emergency, notify:

   Phone:    Relationship:

EXPERIENCE:

1) Employer

Starting salary:

 per:   Hour   |   Week   |   Year

Dates employed:

Last salary:

 per:   Hour   |   Week   |   Year

Address:

Supervisor:

Job Title:

Reason for Leaving:

For job reference, call

  Telephone Number:

2) Employer

Starting wage:

 per:   Hour   |   Week   |   Year

Dates employed:

Last wage:

 per:   Hour   |   Week   |   Year

Address:

Supervisor:

Job Title:

Reason for Leaving:

For job reference, call

  Telephone Number:





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