Red Lion Cafe, Inc Employment Application
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Email *
Name (Last, First) *
Phone Number (Cell) *
Date You Can Start Working at The Red Lion Cafe? *
MM
/
DD
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YYYY
Employment Position Desired *
Required
Please check the days and times when you are available to work once you can begin your employment at the Red Lion Cafe. (Note: These are not shifts.  It just gives us an idea of when you are available for work.) *
Required
How many hours per week do you anticipate being able to/wanting to work? *
Date of Birth *
MM
/
DD
/
YYYY
Present Address (City, State, Zip Code) *
Permanent Address (If Different From Present Address - City, State, Zip Code)
Were you referred by a current employee?  If so, please name them below. *
Have you ever been convicted of a felony OR child abuse/endangerment? *
Are You Employed Now? *
If you are currently employed, may we make an inquiry about you with them?
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Have You Ever Applied Here Before?
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Education - High School (Name, Graduation Year) *
If you are still in high school, please list the extra-curricular activities that you are involved in. (ie. Soccer, Band, Drama Club, etc) *
Education - College, Trade School or Other (Name, Graduation Year)
Have You Completed Any of the Following Certifications? *
Required
Do you have reliable and consistent transportation to and from work?
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Do you have a cell phone? *
Employment History - Employer #1 (Include The Employer, Years of Employment, Position, Hourly Wage AND The Reason for Leaving Your Position) *
Employment History - Employer #2 (Include The Employer, Years of Employment, Position, Hourly Wage AND The Reason for Leaving Your Position) *
Personal Reference #1 (Include Name, Email Address, Cell Phone Number, & Years Known) *
Personal Reference #2 (Include Name, Email Address, Cell Phone Number, & Years Known) *
Personal Reference #3 (Include Name, Email Address, Cell Phone Number, & Years Known) *
By typing my name below, 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 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 the Red Lion Cafe, Inc from all liability for any damage that may result from utilization of such information.  I also understand and agree that no representative of the Red Lion Cafe has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by a Red Lion Cafe, Inc representative.  This waiter does not permit the release of use of disability-related or medical information in a manner prohibited by the ADA Act and other federal and state laws.  I understand that a consumer credit report or criminal records check many be necessary prior to my employment.  If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports.  I also understand that a poor credit history or conviction will not automatically result in disqualification for employment.  In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility document form upon hire. *
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