Bucci’s Job Application

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Employment Application

Date

YYYY

First Name *

Last Name *

Mailing Address, Include City, State and Zip *

Email Address *

Phone Number *

Able to work in US? *

Yes

Convicted of a felony *

Yes

If convicted of felony, please explain.

Years in Kitchen Management *

Years in Hospitality *

Position Applying for: *

Kitchen Management

Kitchen Staff

Serving Staff

Bartending

Support Staff (Prep Cook, Dishwasher, Busser, Expeditor

Minimum Wage Desired *

Date Available to Start *

YYYY

List of qualifications

Current Employer (include start date, Supervisor Name and Current Role)

Previous Employer (include start and end dates, Supervisor Name and Role)

Personal References (Name, Address and Phone Number) *

Professional References (Name, Address and Phone Number)

Submission (By submitting this will be accepted as a signature to the below statement

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal." "I authorize the investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release Bucci's Italian Scratch Kitchen and The Brickyard on Main, LLC from all liability for any damage that may result from utilization of such information." "This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

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