Personal Information
Name:
Street Address:
City/State/Zip
Phone:
Referred By:
Date of Birth (MM/DD/YYYY):
Desired Employment
Position Desired:*
General: Part-Time
General: Full-Time
Human Resources
Management
Warehouse/Shipping
Commissary(Processing)
Shift Preference:*
Mornings
Days
Evenings
Any
Desired Salary:
Present Employment:
May we contact your present employer?
Yes
No
Supervisor and Contact Info:
Education
High School
Name and Location of High School:
Years Attended:^
Year Graduated:^
College
Name and Location of College:
Years Attended:^
Year Graduated:^
Subjects Studied:
Other
Name and Location of School:
Years Attended:^
Year Graduated:^
Subjects Studied:
^ = The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than age 70.
Former Employers
Most Recent
Date From (MM/DD/YYYY):
Date To (MM/DD/YYYY):
Name and Location of Employer:
Salary:
Position:
Reason for Leaving:
Previous
Date From (MM/DD/YYYY):
Date To (MM/DD/YYYY):
Name and Location of Employer:
Salary:
Position:
Reason for Leaving:
Legal
Are you a US citizen or do you have a legal right and necessary documents to work in the US? *
Yes
No
Were you ever discharged by a company? *
Yes
No
If yes, company name?:
Reason for Discharge:
Have you ever been convicted of a crime other than a minor traffic violation? (Note: You are not obligated to discuss sealed or expunged records of conviction or arrest nor will such information be asked of you or considered in employment decisions. The existence of a criminal record will not automatically disqualify you from the job for which you are applying. *
Yes
No
If yes, please explain the final disposition:
Do you have a valid drivers license? *
Yes
No
References
Business references: (do not list relatives) (please indicate if you were employed under a different name)
Name:
Address:
Work Phone #:
Title:
Years Known:
Name:
Address:
Work Phone #:
Title:
Years Known:
Employment Policy
I certify that the information contained in this application is accurate and correct. I understand that any omission or erroneous information may be grounds for dismissal. I authorize the references listed above to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability that may result from furnishing the same to you. These policies do not create any promises or contractual obligations between this company and its employees. My employment is at will, which means I am free to terminate my employment at any time, for any reason, with or without cause, and the company has the same right.
Check the box to agree with the employment policy
Pre-Interview Questionnaire
* How do you intend to add value to the company if hired?
* What is the primary reason you want this job?
* What are the three most important things our company does every day?
* What makes for a good work experience?
* Where do you see your career three years from now?
* Do you know anyone who works for Rick's Barbecue?
Math Skills
1.62 + 3.99 + 4.51 =
19.99 + 2.99 =
20 - 17.48 =
3 * 5.99 =
15% of 15.00 =
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