Oscar's Classic Diner Application for Employment

Application for Employment

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran staus or any other legally protected status.

Date:

MonthDayYear

Position(s) applied for:

How did you find out about this job?

Why are you seeking a new job at this time?

First Name:

Middle:

Last Name:

Street Address:

City:

State:

Zip:

Phone Number:

Area CodePhone Number

E-mail

Do you have a reliable means of transportation to get to work?

If yes, describe:

Are you at least 18?

If you are under 18, can you furnish a work permit?

If the job you are applying for requires driving...

Driver's License Number

State

Expiration

MonthDayYear

Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status is required if hired.)

Have you been convicted of a crime?

If yes, state the nature of the offense and disposition of the case. Include dates and places. (NOTE: The existence of a criminal record does not constitute an automatic bar to employment.)

Are you a veteran?

If yes, give dates of service - From

MonthDayYear

To

MonthDayYear

List any special skills or training:

Are you seeking full time, part time or temporary employment?

What hours and shift(s) would you prefer to work?

List times you are not available to work?

Are you willing to work overtime?

Weekends?

Holidays?

Are you currently employed?

Other

If hired, when would you be able to start?

MonthDayYear

Hae you ever worked for Oscar's before?

If yes, name used?

List any friends or relatives currently employed by this company:

Have you ever been discharged or asked to resign from any position?

Please describe:

Please describe which tasks, if any, you will need accommodation to perform, and explain what type of accommodation you will need:

Highest level of elementary school achieved:

Name of elementary school:

Location of elementary school:

Highest level of secondary school achieved:

Name of secondary school:

Location of secondary school:

If in high school, are you enrolled in a recognized co-op program?

If yes, identify program and school:

Highest level of college achieved:

Name of college:

Location of college:

Degree/Major

Minor:

1. Company:

Please begn with most recent.

Address:

City / State / Zip Code:

Phone Number

Area CodePhone Number

Job Title:

Supervisor's Name & Title:

Dates of Employment: To

MonthDayYear

From

MonthDayYear

Salary: Beginning:

Ending:

Specific reason for leaving:

2. Company:

Address:

City / State / Zip Code:

Phone Number

Area CodePhone Number

Job Title:

Supervisor's Name & Title:

Dates of Employment: To

MonthDayYear

From

MonthDayYear

Salary: Beginning:

Ending:

Specific reason for leaving:

3. Company:

Address:

City / State / Zip Code:

Phone Number

Area CodePhone Number

Job Title:

Dates of Employment: To

MonthDayYear

From

MonthDayYear

Salary: Beginning:

Ending:

Specific reason for leaving:

For reference purposes have you worked or attended school under a different name?

Give name:

May we contact the employers listed above?

If not, list the employers you do not wish us to contact and why:

Applicant Information

Employment Information

Education

Work History