Job Application Form
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First Name
*
Middle Name
Last Name
*
Email *

Required for accessing schedule and digital pay stubs

Phone Number *

Required for accessing schedule and digital pay stubs

Date Born
*
MM
/
DD
/
YYYY
Social Security Number *
Address *

Street number, street name, apartment/unit number (if applicable), city, state, and zip code

How long have you lived at the above address?
*

What position(s) are you applying for?

*
Required

How much time do you desire to work?

*

What days are you available to work?

*
Required

What shifts are you available to work?

*
Required

When can you start working?

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MM
/
DD
/
YYYY

How long do you intend to work here?

*

What is your desired salary?

*

If you were referred here by someone enter their name and contact information below.

List your previous employers, their phone numbers, your position, salary, how long you worked for them, and your reason for leaving.

*

Have you ever lost time from work because of an accident?

*

Have you ever collected workman’s compensation benefits?

*

Are you willing to take a physical examination at our expense?

*

May we inquire of your recent employer?

*

I authorize investigation of all statements contained herein on this application. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employer is substantially dependent on truthful answers to the foregoing inquiries. I agree to work the hours scheduled by my employer. I have read these statements and answers to these inquiries, and affirm that they are true and accurate.

*

The undersigned hereby acknowledges that, as an employee of Olympic Broil Restaurant my employment may be terminated at any time for any reason, or no reason whatsoever, and that Olympic Broil Restaurant is not required to give any explanation of the reason(s) for termination.

I understand that I have no contractual rights as an employee of Olympic Broil Restaurant, and that no one has the authority to verbally modify my status as an employee at will.

The only way that I may become a contractual employee is by a written resolution of a majority of the shareholders of Olympic Broil Restaurant. I acknowledge that I have received a copy of this document.

*
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