Middle Name Home Phone Number Cell Phone Email * Position for which you are applying When could you start employment If temporary, what dates Current/previous salary Have you previously applied for employment with us? If yes, what month and year Were you ever employed by the company? If yes, what month and year Are you authorized to work in the United States? Do you require sponsorship now or in the future? Have you ever used any other name for school or work? If so, please list all name(s) used Are you related to anyone currently or previously employed by our company? If so, please list all names Are there any shifts you cannot work? I yes, please explain Have you ever been discharged or asked to resign from employment? If yes, please explain Have you ever been convicted of a criminal offense other than minor traffic violations? If yes, please provide detail including, when, where and disposition of charge. (Such a conviction will not necessarily disqualify you from the position you are applying for.) Information pertaining to sealed or expunged convictions need not be disclosed High School College/University Degree Other Employment History
Please list all current and former employers going back the last 7 years, beginning with the most recent. Please account for any gaps/breaks in employment. Resumes will not substitute for completing this section.
Employer 1 Position Held Phone Immediate Supervisor and Title Dates Employed (To-From) Starting Salary Final Salary Job Summary Reason for Leaving Employer 2 Position Held (copy) Phone (copy) Immediate Supervisor and Title (copy) Dates Employed (To-From) (copy) Starting Salary (copy) Final Salary (copy) Job Summary (copy) Reason for Leaving (copy) Employer 3 Position Held (copy) (copy) Phone (copy) (copy) Immediate Supervisor and Title (copy) (copy) Dates Employed (To-From) (copy) (copy) Starting Salary (copy) (copy) Final Salary (copy) (copy) Job Summary (copy) (copy) Reason for Leaving (copy) (copy) Other Skills and Qualifications Summarize any job-related training, skills, licenses, certificates, and other qualifications: List three references, including names, telephone numbers, and years known. (Do not include relatives or employers.) PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY
I understand that the Company may elect to conduct a pre-employment background check not limited to my prior employment, education history, credit worthiness (if applicable), drug test (if applicable) civil litigation record, DMV records of criminal convictions, professional and/or personal references etc. I further authorize the company to conduct such inquiry and have access to all related records, materials and information without limitation. I also authorize the Company to consider the information received from my pre-employment background check when making decisions regarding whether to offer me employment, when deciding to continue my employment (if I am hired) and when making other employment-related decisions directly affecting me. I therefore release Castaway's Craft Beer & Pizza from any claims or liabilities of any kind resulting from its obtaining and using such information. If employed, I also agree to abide by the company’s policies and procedures. Furthermore, I understand that this is not a contract of employment. I will not be employed for any specific period of time and that I may resign at any time. The Company may terminate my employment at anytime, with or without cause and with or without notice and that any assurance of continued employment whether written, oral or by conduct, shall not be interpreted as changing the “at will” nature of my employment relationship with the Company unless specifically acknowledged in a written agreement signed by the CEO or the President of Castaway's Craft Beer & Pizza and myself. I further understand that no representative of my employer besides the President of the Company has the authority to make any modifications to this agreement for employment for a specified time, or to make any other agreement contrary to the foregoing. Except as required in the performance of my duties (if hired), I understand and agree that I will not at anytime during or after my employment, use, disclose, or disseminate any confidential information, or any other information of a secret, proprietary, or generally undisclosed nature relating to my employer or its products, services, customers, employees, plans or procedures. I agree to deliver to my employer any and all copies of confidential information or other Company property, upon termination of my employment relationship, or at any time upon my employer’s request In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document (I-9) form upon hire. My signature below also affirms that the information provided on this application for employment is true and complete. I understand and agree that any falsification or omission either on this form or in response to questions asked of me during the application and/or interview process shall be grounds for immediate termination of employment, or withdrawal of an offer of employment regardless when such falsification or omission is discovered.