Employment Application for The Plaid Turnip and Mod Olive
The Plaid Turnip and Mod Olive are committed to equal opportunity in employment. Consistent with this commitment, applicants are considered for employment and employees are treated during employment without discrimination based on age, race, creed, color, national origin, gender, disability, marital status, veteran status, sexual orientation, religion, military status, or any other personal characteristic.
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Name
Address
Birth Date
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Age
Home Phone Number
Cell Phone Number
Email
Emergency Contact Information
Are you a citizen of the United States?
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If you are not a citizen, do you have legal authorization to work in the US for any employer?
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If you are a minor can you provide a work permit?
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Have you been convicted of any criminal offenses other than minor traffic violations within the last 7 years?
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If you have been convicted of any criminal offenses, please describe.
Have you been terminated from a job?
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If you have been terminated from a job, please describe.
Do you have reliable transportation to and from work?
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Which restaurant are you interested in working at?
Which position are you interested in? (Check all that apply)
Full time (30+ hours) or part time position?
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Desired Wage
Date Available to Begin to Work
MM
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DD
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YYYY
Availability- AM (7am-4pm) PM (3pm-Close)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
AM (7am- 4pm)
PM (3pm- 10pm)
Work Experience 1 (please include place of employment, job description, and date of employment
Work Experience 2 (please include place of employment, job description, and date of employment
Work Experience 3 (please include place of employment, job description, and date of employment
References- Please include references name and phone number
I certify that the above information is true and complete to the best of my knowledge. I understand that if employed, My employment will be at will and I will not have guarantee of employment for any specific period of time, unless otherwise provided in a written employment agreement. The Plaid Turnip and Mod Olive are equal opportunity employers.    Please type name and date below.
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