Lakota Grill & Bakery Employment Application

Application For Employment

Lakota Canyon
We are an Equal Opportunity Employer and committed to excellence through diversity.

Please print or type. The application must be fully completed to be considered. Please complete each section, even if you attach a resume.
Personal Information
Name

Address

Address
Street Address Line 2
City	State
Zip	Country

Phone number
Email address
example@example.com
Are you legally eligible to work in the US?

Yes No
Are you a veteran?

Yes No
If selected for employment are you willing to submit to a background check?

Yes No
Position
Position you are applying for
Available start date

Month Day Year
Date
at
Hour Minutes AM/PM Option
Desired pay
Employment desired

Full time Part time Seasonal/Temporary

Education

School name

Location

Years attended

Degree received

Major

References (business and professional only)

Name

Title

Company

Phone

This job application form was downloaded from Betterteam.
Employment History
Employer (1)
Job title
Dates employed

Month Day Year
Date
Work phone
Starting pay rate
Ending pay rate

Address

Address
Street Address Line 2
City	State
Zip	Country

Employer (2)
Job title
Dates employed

Month Day Year
Date
Work phone
Starting pay rate
Ending pay rate

Address

Address
Street Address Line 2
City	State
Zip	Country

Employer (3)
Job title
Dates employed

Month Day Year
Date
Work phone
Starting pay rate
Ending pay rate

Address

Address
Street Address Line 2
City	State
Zip	Country

Employer (4)
Job Title
Dates employed

Month Day Year
Date
Work phone
Starting pay rate
Ending pay rate

Address

Address
Street Address Line 2
City	State
Zip	Country

Employer (5)
Job title
Dates employed

Month Day Year
Date
Work phone
Starting pay rate
Ending pay rate

Address

Address
Street Address Line 2
City	State
Zip	Country

Signature Disclaimer
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated.
Name (please print)
Signature

Clear
Date

Month Day Year
Date
at
Hour Minutes AM/PM Option
Should be Empty: