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?

NewspaperEmployeeWalk-inRelativeOther
Why are you seeking a new job at this time?
Applicant Information
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?*

YesNo
If yes, describe:
Are you at least 18?*

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

YesNo
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.)

YesNo
Have you been convicted of a crime?

YesNo
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?

YesNo
If yes, give dates of service - From

MonthDayYear
To

MonthDayYear
List any special skills or training:
Employment Information
Are you seeking full time, part time or temporary employment?*

Full TimePart TimeTemporaryAny
What hours and shift(s) would you prefer to work?
List times you are not available to work?
Are you willing to work overtime?

YesNo
Weekends?

YesNo
Holidays?

YesNo
Are you currently employed?*

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

MonthDayYear
Hae you ever worked for Oscar's before?

YesNo
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?

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

YesNo
If yes, identify program and school:
Highest level of college achieved:
Name of college:
Location of college:
Degree/Major
Minor:
Work History
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?

YesNo
Give name:
May we contact the employers listed above?

YesNo
If not, list the employers you do not wish us to contact and why:
Should be Empty:

Applicant Information

Employment Information

Education

Work History