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Employment
Click Here to Print a Copy of the Application
Contact Information
Name
Phone
Email
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Contact Address
Street
City
State/Province
Zip/Postal Code
Requested Information
Position(s) applied for
Choose an option
Server
Bartender
Hostess
Bus help
Dishwasher
Kitchen help
Line cook
Morning prep
Why are you seeking a new job at this time?
Applicant Information
First Name
Middle Name
Last Name
Street Address
Social Security No.
City/State/Zip
Date of Birth
Home Phone
Cell Phone
1. If hired, do you have a reliable means of transportation to get to work? Describe
2. Are you at least 18 years old?
Choose an option
Yes
No
If you are under 18 years of age, can you furnish a work permit?
Choose an option
Yes
No
4. Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status is required if hired.)
Choose an option
Yes
No
5. Have you been convicted of a crime? (Massachusetts applicants should not include misdemeanor convictions; California applicants should not include marijuana-related convictions that occurred more than 2 years prior to the application date.)
Choose an option
Yes
No
7. List any special skills or training:
Employment Information
8. Are you seeking:
Choose an option
Full Time
Part Time
Temporary Employment
9. What hours and shift(s) would you prefer to work?
Choose an option
Afternoon 11:00-4:00
Evening 4:00-close
All day 11:00-close
Morning prep only 6:00-11:00
10. List times you are not available to work?
Choose an option
Afternoon 11:00-4:00
Evening 4:00-close
All day 11:00-close
11. All employees are required to work holidays. Are you available to work holidays?:
Choose an option
YES
NO
12. Are you currently employed?
Choose an option
Yes
No
If yes do you intend to keep your present job
13. If hired, when would you be able to start?
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September 2021
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14. Have you ever worked for this organization before?
If yes, name used:
15. We may conduct training or meetings on days, or at times, you have other obligations. Is your schedule flexible so you may come to training
Choose an option
Yes
No
16. Are you, or do you plan to be in school or taking courses at any time while working here
Choose an option
Yes
No
17. If you have other obligations or commitments that may affect your schedule (such as travel plans) please indicate the particular dates and times that you will be unavailable
18. How many jobs have you held in the last two years
Choose an option
1
2
3
4
19. List any friends or relatives employed by this company:
21. Can you perform the essential functions required by the job for which you are applying either with or without reasonable accommodations?
22. If the answer is no, please describe which tasks, if any, you will need accommodation to perform, and explain what type of accommodation you will need:
23. Do you agree not to bring into Baker’s Restaurant confidential information of any third parties that relates in any way to the restaurant industry, and to keep confidential and not disclose any of Baker’s Restaurant’s or any third parties confidential information?
Choose an option
Yes
No
Education
Highschool:
Choose an option
9
10
11
12
GED
Name of School
College
Choose an option
1
2
3
4
5
6
7
8
Name of College
If in high school, are you enrolled in a recognized co-op program?
Choose an option
Yes
No
Work History (please begin with most recent)
1. COMPANY
Work History (please begin with most recent)
Phone No. with Area Code
City/State/Zip
Dates of Employment: From -To
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September 2021
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Su
Mo
Tu
We
Th
Fr
Sa
29
30
31
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Salary: Beginning - Ending
Job Title
Supervisor’s Name & Title
Describe duties briefly:
Specific reason for leaving:
2. COMPANY
Phone No. with Area Code
City/State/Zip
Dates of Employment: From - To
Salary: Beginning - Ending
Job Title
Supervisor’s Name & Title
Describe duties briefly:
Specific reason for leaving:
3. COMPANY
Phone No. with Area Code
City/State/Zip
Dates of Employment: From - To
Salary: Beginning - Ending
Job Title
Supervisor’s Name & Title
Describe duties briefly:
Specific reason for leaving:
Have you attended any of the above Schools or Employment under a different name?
If so, What Name?
May we contact the above references to verify employment?
If not, specifically describe why?
Additional Information
Notes:
Submit