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:

Month Day Year

Position(s) applied for: *

How did you find out about this job?

Newspaper Employee Walk-in Relative

Why are you seeking a new job at this time?

First Name: *

Middle:

Last Name: *

Street Address: *

City: *

State: *

Zip: *

Phone Number: *

Area Code Phone Number

E-mail

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

Yes No

If yes, describe:

Are you at least 18? *

Yes No

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

Yes No

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

Driver's License Number

State

Expiration

Month Day Year

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

Yes No

Have you been convicted of a crime?

Yes No

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?

Yes No

If yes, give dates of service - From

Month Day Year

To

Month Day Year

List any special skills or training:

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

Full Time Part Time Temporary Any

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

List times you are not available to work?

Are you willing to work overtime?

Yes No

Weekends?

Yes No

Holidays?

Yes No

Are you currently employed? *

Yes No

If hired, when would you be able to start? *

Month Day Year

Hae you ever worked for Oscar's before?

Yes No

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?

Yes No

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:

GED

Name of secondary school:

Location of secondary school:

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

Yes No

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 Code Phone Number

Job Title:

Supervisor's Name & Title:

Dates of Employment: To

Month Day Year

From

Month Day Year

Salary: Beginning:

Ending:

Specific reason for leaving:

2. Company:

Address:

City / State / Zip Code:

Phone Number

Area Code Phone Number

Job Title:

Supervisor's Name & Title:

Dates of Employment: To

Month Day Year

From

Month Day Year

Salary: Beginning:

Ending:

Specific reason for leaving:

3. Company:

Address:

City / State / Zip Code:

Phone Number

Area Code Phone Number

Job Title:

Dates of Employment: To

Month Day Year

From

Month Day Year

Salary: Beginning:

Ending:

Specific reason for leaving:

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

Yes No

Give name:

May we contact the employers listed above?

Yes No

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

Applicant Information

Employment Information

Education

Work History