Scrambled Jake's
Application for Employment
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Email *
Personal
Last Name *
First Name *
Address/Street/Apt # *
City *
State *
Zip Code *
Phone Number *
Emergency Contact (Name & Phone Number)
Position Applying For *
Do you currently have a TABC permit?
Clear selection
Is your citizenship or immigration status such that you can lawfully work in the U.S.?  (If hired, continued employment may be dependent upon proof of citizenship or presentation of alien registration number.) *
Required
Experience
Give present or last position
Company *
Type of Business *
Employed From *
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/
DD
/
YYYY
Employed To *
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/
DD
/
YYYY
Salary or Wage (ending) *
Position(s) Held *
Supervisor
Describe Your Duties *
Reason For Leaving *
May we contact your present employer? *
Education
High School
School Name and Location
Years Attended
Did You Graduate
Clear selection
Trade or Business School
School Name and Location
Years Attended
Did You Graduate
Clear selection
College/University
School Name and Location
Years Attended
Did You Graduate
Clear selection
U.S. Military Service
Branch of Service
From
MM
/
DD
/
YYYY
To
MM
/
DD
/
YYYY
Applicable Military Experience
List Any Business and Personal References
Name
Address
Position
Phone
General
How were you referred to Scrambled Jake's? *
What Starting Salary Will You Consider?
When Will You Be Able To Start?
What Shifts Are You Available To Work? *
Required
Are You a Citizen of the United States? *
Have You Ever Been Convicted of a Felony or Misdemeanor Other Than a Traffic Violation Within the Past Seven (7) Years? *
If Yes, State Offense Convicted For, Court Convicted In, Date of Conviction, and Disposition of Case.
Have You Ever Been Employed with One of Our Companies Before? *
Required
The information I am presenting in this application is true to the best of my knowledge, and I understand that any falsification or misrepresentation herein could result in my discharge in the event I am employed by Scrambled Jake's.  I also authorize investigation of all statements made in this application.  I understand that this application and any other documents are not contracts and that, if hired, I may leave employment upon proper notice and may be terminated by the company at any time and for any reason.   *
Required
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