Application Date: | 01/05/2009 | ||
Last Name |
First Name | ||
Address |
City | ||
State | Zip | ||
Home Phone | Alternate Phone | ||
Position Applied For: | Location Desired | ||
Hours Desired | If Part Time-Available Hours Per Week | ||
Salary Expected | Hourly Salary Date Available | ||
Are you
available to work whatever schedule is necessary to help us meet our
Corporate objectives and our obligations to our clients? Yes No |
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If no, what shifts are you available | |||
Monday | AM PM | ||
Tuesday | AM PM | ||
Wednesday | AM PM | ||
Thursday | AM PM | ||
Friday | AM PM | ||
Saturday | AM PM | ||
Sunday | AM PM | ||
Are you
Presently Employed?
Yes
No
If yes, may we contact your present employer Yes No
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Can you make
it to work each day on time
Yes
No
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Have you ever been
employed by WKC Restaurants or any other client company that you are
aware of? Yes No |
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If yes |
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Where When |
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Position Reason for leaving
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Referral Source:
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Names and Relationships of
relatives or acquaintances employed at WKC Restaurants
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Have you ever been
convicted of, or pled guilty or "no contest" to, a misdemeanor, or
felony (do not include minor traffic infractions for which you never
appeared in court, offenses which were dismissed or discharged after
successful completion of probation, and convictions or pleas which have
been deemed sealed or exponged by law)? Yes No
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If yes, give the details
concerning the type of crime, the date of the conviction or plea, the
penalty imposed, and any other circumstances you deem relevant to a full
understanding of what occured. (Factors such as age at the time of the
offense, seriousness and nature of the violation, relatedness to the job
sought, and evidence of rehabilitation will be taken into account.)
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Have you ever been sued in
a civil action with regard to the death of or personal injury or
intentional damage to any person? Yes No
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If yes, give the details
concerning the nature of the claims and defenses raised by the parties,
the outcome of the action(e.g., settlement, jury verdict, or other
disposition), and any other circumstances you deem relevant to a full
understanding of what occured.
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Are you prevented from
being employed in this country because of Visa or Immigration status? Yes No
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THE FOLLOWING INFORMATION WILL ONLY BE CONSIDERED IF IT IS RELEVANT TO THE POSITION FOR WHICH YOU ARE APPLYING OR COULD BEAR UPON STATE LICENSING REQUIREMENTS. |
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Do you use any illegal drugs? (answer is optional) | |||
THE FOLLOWING INFORMATION WILL BE USED ONLY TO THE EXTENT THAT IS RELEVANT TO THE QUALIFICATIONS AND POSITION FOR WHICH YOU APPLY |
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What is the highest grade
completed?
Do you have a high school diploma or GED? Yes No
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List all employment, including military, for the past 7 years beginning with your present job or last job held. |
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From
To
Employer
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Supervisor Address
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Telephone
Salary
Per
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Position/Job Duties
Reason for Leaving
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From
To
Employer
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Supervisor Address
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Telephone
Salary
Per
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Position/Job Duties
Reason for Leaving
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From
To
Employer
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Supervisor Address
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Telephone
Salary
Per
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Position/Job Duties
Reason for Leaving
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From
To
Employer
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Supervisor Address
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Telephone
Salary
Per
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Position/Job Duties
Reason for Leaving
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From
To
Employer
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Supervisor Address
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Telephone
Salary
Per
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Position/Job Duties
Reason for Leaving
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Have you ever
been dismissed or asked to resign from employment?
Yes
No If Yes, Employer Reason
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Have you ever been granted
a military or government security clearance?
Yes
No If Yes, level of clearance
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List any special job
skills or qualifications that may be relevant to the position for which
you are applying.
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References: (5 persons not related to you and who are not former employers) |
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Name and occupation Address Phone # | |||
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By clicking here you are
electronically signing that you
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