Employment Duke's Smokehouse BBQ Restaurant Georgetown TX

APPLICATION FOR EMPLOYMENT - NON-EXEMPT POSITION

First Name:

Last Name:

Address:

City:

State:

Zip Code:

E-mail Address:

Phone Number:

SSN:

Permanent Address*:

* If different from present address.

Are you 18 years or older?

Are you either a U.S. citizen or an alien authorized to work in the U.S.?

Have you ever worked or attended school under another name?

If so, under what name?

Have you ever been convicted of a crime?*

If yes, give details, including date(s):

* A "yes" answer will not automatically disqualify you from employment. We will consider the nature and date of the offense and the job for which you are applying for job-related purposes only, and only to the extent permitted by applicable law.

POSITION DESIRED

Position:

Date you can start:

Hourly rate/monthly salary desired:
Do you prefer:

If part-time, hours per week desired:
Hours you are available to work:
Days of week you are available to work:

Are you able to work:

Weekends*:

Holidays*:

Nights*:

* if required for the position for which you're applying

Are you available to work overtime:

Have you previously worked for this company:

If so, from:

to:

Reason for leaving:

Former supervisor(s) at this company:

How did you learn about this opening:

EDUCATION

High School:		Graduated:
Technical School:		Graduated:
Course of Study:
College/University:		Graduated:
Course of Study:

Other education or training:
Other special skills:

MILITARY SERVICE

Branch of Service:

Dates Served:

Rank at Discharge:
Education and Training:

WORK EXPERIENCE

Please list all previous employment, beginning with the most recent. If you need more room, you may use another sheet of paper and fax it to 512.864.3857.

Employer:

Address:

From:

To:

Position Held:

Reason for leaving:

Supervisor's Name & Title:

May we contact:

Description of Duties:

Starting Hourly Pay:

Final Hourly Pay:

Employer:

Address:

From:

To:

Position Held:

Reason for leaving:

Supervisor's Name & Title:

May we contact:

Description of Duties:

Starting Hourly Pay:

Final Hourly Pay:

Employer:

Address:

From:

To:

Position Held:

Reason for leaving:

Supervisor's Name & Title:

May we contact:

Description of Duties:

Starting Hourly Pay:

Final Hourly Pay:

AUTHORIZATION AND ACKNOWLEDGMENTS

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that if I am employed, any false statements on this application may be grounds for dismissal.

I authorize investigation of all statements contained in this application. I also grant permission to contact all references listed above, and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to you.

I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time and without prior notice.

Did you read and understand the above paragraphs?

Signature:

Date: