Employment Form

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Job Application

Contact Info

First Name

Middle Initial

Last Name

Phone

Date

Address

Address Line 2

City

State

Zip

Desired Salary

Position Applied For

Date Available

Are You A Citzen Of The United States

Yes

If No, Are You Authorized to work in U.S.

Yes

Do you have a car/reliable transportation

Yes

Do you have a cell phone

Yes

Do You Smoke

Yes

Have you ever worked for this company

Yes

If yes, when

Have you ever been convicted of a felony?

Yes

If yes, explain

Experience

Employer 1 (Most Recent)

Employer

Phone

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for leaving

May we contact your previous supervisor for a reference

Yes

Employer 2

Employer

Phone

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for leaving

May we contact your previous supervisor for a reference

Yes

Employer 3

Employer

Phone

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for leaving

May we contact your previous supervisor for a reference?

Yes

Education

School 1 (Most Recent)

High School

Location

Start Date

End Date

Did You Graduate?

Yes

Diploma

School 2

School

Location

Start Date

End Date

Did you graduate?

Yes

Degree

School 3

School

Location

Start Date

End Date

Did you graduate?

Yes

Degree

References

Name

Contact #

Years Known

Name

Contact #

Years Known

Name

Contact #

Years Known

Other related Skills

(Include if you are currently TAM or Alcohol Certified, ServSafe Certified

Schedule Of Availability

Hours of operation are from 11:00 AM to 2:00 AM daily Scheduled shifts can vary from 9:00 AM until CLOSE

Hours Per Week Desired

Full Time

Part Time

Double-click here to add a label

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Day Shift or Evening Shift

Morning Shift

Evening Shift

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release

By clicking the above button, I consent to be contacted by M. J. Ventures - Tommy Jacks and Webit, Inc. at any email address or telephone number I provide, including, without limitation, communications sent via text message to my cell phone or communications sent using an autodialer or prerecorded message. This acknowledgement constitutes my written consent to receive such communications. I agree and consent to any applicable Terms and Conditions of Use or Privacy Policy available on this website.

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