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Application For Employment
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Full Name *
Address *
Phone Number *
Email Address *
Position Applying for: *
Which location are you applying for? *
If Hired, Do you have reliable transportation back and forth to work? *
Are you at least 18 years of age? *
If under 18, can you furnish a work permit?
Are you legally eligible for employment in the U.S.? (Proof of citizenship or immigration status required if hired) *
Have you been convicted of a crime? If yes, state the nature of offense as well as dates. (Please note, this does not constitute a bar from employment)
Please list any special skills, training, or certificates.
Are you seeking full time, part time, or temporary placement?
Please mark which shifts you are available and would prefer to work. Please note that holidays will supercede availability. *
Lunch (11am-5pm)
Dinner (5pm-close)
Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you currently employed? *
When are you available to start? *
MM
/
DD
/
YYYY
Are you able to perform all duties of the position you are applying for? *
If no, Please describe which tasks you are unable to perform or may be able to perform with accommodation and what the accommocations needed are.
Please select highest level of education received: *
Please list your work history beginning with the most recent first. Please include dates worked, location, phone number, supervisor's name, your position and job duties. *
May we contact your previous employers? *
If no, please list the employers you prefer we not contact and why.
Authorizations
I certify that the information contained in this application is true and complete. I understand that false information or significant omissions may be grounds for not hiring me or for immediate termination of employment if I am hired. I authorize the verification of any and all information listed above.
I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations.
I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination, if required for my position. In the event I receive medical treatment for any condition that is job-related I hereby authorize the release and exchange of such information between my employer and medical provider.
I have read understand and agree with the statements above. *
At-Will Employment Agreement
I understand and agree that nothing contained in this application, or conveyed to me during any interview is intended to create an employment contract between the company and me. I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company's president is authorized to change the employment-at-will status and such a change can only be done in writing.
Equal Opportunity Employer
WESTBROOK LOBSTER DOES NOT DISCRIMINATE IN HIRING OF TERMS OR CONDITIONS OF EMPLOYMENT ON THE BASIS OF RACE COLOR, CREED, RELIGION, SEX, NATIONAL ORIGIN, AGE, OR ANY OTHER BASIS UPON WHICH DISCRIMINATION IS PROHIBITED BY THE MUNICIPAL, STATE, OR FEDERAL LAW. NO QUESTION ON THIS APPLICATION IS INTENDED TO SECURE INFORMATION TO BE USED FOR SUCH DISCRIMINATION.
I have read understand and agree with the statements above. *
I hereby agree to consenting by electronic signature to these terms and conditions. *
Please write Full Name and Date *
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