Application for Employment
Sandusky Pancake House Application for Employment
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Name *
First and last name
Email *
Phone number *
Present Address
Education
Days Available
Which position(s) are you interested in? *
Hourly Rate Desired
If under 18 please list age
Have you ever worked for Sandusky Pancake House Before?
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If so, when and what position?
Are you eligible to work in the United States?
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What is your means of transportation to work?
How many hours can you work weekly?
Employment Desired?
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Have you ever been convicted of a crime?
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If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Employer #1 Address
Employer #1 Phone Number
Employer #1 Name of Supervisor
Employer #1 Dates of Employment
Employer #1 Position/Field
Employer #1 Reason for leaving
Employer #2  Address
Employer #2 Phone Number
Employer #2 Name of Supervisor
Employer #2 Dates of Employment
Employer #2 Position/Field
Employer #2 Reason for leaving
Employer #3 Address
Employer #3 Phone Number
Employer #3 Name of Supervisor
Employer #3 Dates of Employment
Employer #3 Position/Field
Employer #3 Reason for leaving
May we contact your previous employers?
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Did  you complete this application yourself?
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