Morty's Cafe Job Application
First and Last Name
Your answer
Address
Street, Apt / Unit #, City, State, Zip
Your answer
Phone
Your answer
Email
Your answer
I am primarily interested in... *
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever been convicted of a felony?
What is your availability?
e.g. Monday 7am-10pm, Tues 12pm-12am etc.
Your answer
Education
High School and years attended
e.g. Bayside 1990-1993
Your answer
College and years attended
e.g. USU 2012-current
Your answer
Other training:
Your answer
Do you have your food handler's permit?
Employment History
Company and dates
e.g. Buy n Large 2084-2087
Your answer
Job Title
Your answer
Supervisor's name, phone # and/or email
e.g. Miss Benes, 646-555-1234, ebenes@jpeterman.com
Your answer
May we contact the employer?
Company and dates
e.g. Buy n Large 2084-2087
Your answer
Job Title
Your answer
Supervisor name, phone # and/or email
e.g. Mr. Scott, 570-555-1234, michael@dundermifflin.com
Your answer
May we contact the employer?
Company and dates
e.g. Buy n Large 2084-2087
Your answer
Job Title
Your answer
Supervisor name, phone # and/or email
e.g. George Costanza, 646-555-1234, gconstanz@kruger.com
Your answer
May we contact the employer?
Do you own a car? Mark all that apply.
How quickly and effienciently do you work? *
Why do you want to work at Morty's Cafe?
This is your time to shine!
Your answer
Anything else we should know?
Add any notes or questions here.
Your answer
Disclaimer and Signature
Mortys LLC is committed to equal opportunity employment. Consistent with this commitment, applicants are considered for employment and employees are treated during employment without discrimination based on age, race, creed, color, national origin, gender, disability, marital status, veteran status, sexual orientation, religion, military status, alienage or citizen status or any others characteristic protected by applicable federal, state or local laws.

Please read carefully before submitting. By submitting: I certify that the information given above is true and completed to the best of my knowledge. I authorize Mortys LLC to investigate any information, including my employment history and educational background. My current and former employers, educational institutions, personal references may provide information they may have about me in response to inquiry from the employer. I understand that any offer of employment by Mortys LLC is contingent upon obtaining reference information learned through the above mentioned reference checks. I understand that omitting material fact and/or providing false or misleading information or misrepresentation in my application, resume, or during the interview process may result in a refusal to hire, or discharge in the event of employment. I understand that I am required to provide documentation establishing my legal authorization for employment within the first week of employment. I understand that if employed, my employment will be at will and I will not have a guarantee of employment for any specific period of time unless otherwise provided in a written employment agreement signed by Mortys LLC representatives

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