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APPLICATION FOR EMPLOYMENT
PERSONAL INFORMATION Date
Name Social Security #
Address City State Zip
Phone Number (Day) Phone Number (Evening)
Position applied for Store applied at
How did you hear about Taco Del Mar?
EMPLOYMENT HISTORY Please list your last three employers, starting with the most recent:
From to May we contact your current supervisor? Yes No
Company Position
Address City State Zip
Supervisor PhoneReason for leaving
Starting Wage Ending Wage
From to
Company Position
Address City State Zip
Supervisor Phone
Reason for leaving
Starting Wage Ending Wage
From to
Company Position
Address City State Zip
Supervisor Phone
Reason for leaving
Starting Wage Ending Wage
AVAILABILITY Date available to start
What type of Employment are you looking for? Full Time Part Time Seasonal Are there any specific days or times you would not be available to work?
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Day
Night
MORE, OTHER SIDE
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EDUCATION
High School Last grade completed Year
College Last grade completed YearTechnical Training Other
Subject of special interest or study
REFERENCES Please do not include relatives.Name Phone Years known
Address City State Zip
Occupation
Name Phone Years known
Address City State Zip
Occupation
Name Phone Years known
Address City State Zip
Occupation
OTHERAre you at least 18 years of age? Yes No
Have you ever been convicted of a felony? Yes No If yes, please explain:
Are you legally entitled to work in the United States? Yes
No
Have you ever been discharged or asked to resign by any of your previous employers?Yes No If the answer is yes, please explain:
Have you ever worked for this Company before? Yes No
When Where
It is the policy of Taco Del Mar that all employees and applicants for employment areafforded equal opportunity without regard to race, color, creed, sex, sexual orientation, age,national origin, religion, or non-job related disability. I understand and acknowledge that any
employment relationship with Taco Del Mar is of an at-will nature. This means that I mayresign at any time with or without notice and Taco Del Mar may terminate my employment atany time with or without cause and with or without notice. I certify the information on thisapplication is true, complete and correct. I hereby authorize the investigation of my pastemployment, education, and activities and I release from all liability all person's companies andcorporations supplying such information. I understand that false answers, statements orsignificant omissions made by me on this form shall be sufficient for denial of employment ordischarge. By signing this application you are certifying that all the information you haveprovided is true and correct.
Signed DateRev. March 2006