ROBINETTE’S APPLICATION FOR EMPLOYMENT

ROBINETTE’S APPLICATION FOR EMPLOYMENT
Today's Date*

MonthDayYear
Date
Name*

First NameLast Name
Email
example@example.com
Cell Phone Number*

Area CodePhone Number
Cell Phone Carrier*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
T-Shirt Size (unisex)*
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, Green Card, etc within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
Position Applied For
Have you ever used another name for us to be able to check your work record?

NoYes
If so, please list:
Do you have any friends or relatives who are presently, or were formerly employed by Robinette's? If so, please list here:
How were you referred to Robinette's?
Are you over 16 years of age?*

YesNo
Are you over 18 years of age?*

YesNo
Do you have reliable transportation?*

YesNo
Have you ever been convicted of a felony?*

YesNo
If yes, please explain
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.
EDUCATIONAL HISTORY
High School Name
Degree or Diploma?

NoYes
Years Competed
College Name
College Location
Degree or Diploma?

NoYes
Years Competed
Other School
Degree or Diploma?

NoYes
EMPLOYMENT RECORD
PLEASE INCLUDE ALL EMPLOYMENT FOR THE PAST FIVE YEARS (MOST RECENT LISTED FIRST

If this is your first job, please list two personal references not including relatives
Company Name
Position Held
Dates employed from

MonthDayYear
Date
to

MonthDayYear
Date
Company Address
Manager or Supervisor Name

First NameLast Name
Manager or Supervisor Phone Number

Area CodePhone Number
Wage or Salary
Reason For Leaving
Company Name
Position Held
Dates employed from

MonthDayYear
Date
to

MonthDayYear
Date
Company Address
Manager or Supervisor Name

First NameLast Name
Manager or Supervisor Phone Number

Area CodePhone Number
Wage or Salary
Reason For Leaving
WORK AVAILABILITY
When will you be available to begin work?

MonthDayYear
Date
Do you have any objection to working over-time?

NoYes
PLEASE LIST THE TIMES YOU ARE AVAILABLE TO WORK:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Do the following math questions without a calulator our outside help.
What is 6% sales tax on $200.00?*
If a customer's bill comes to $2.75 and they hand you $10.75, how much change do you give them?*
If a customer hands you a $10 bill and you need to make change, how can you make sure they don't try to trick you into thinking they gave you a $20 bill while you are making change?*
EMERGENCY CONTACT INFORMATION

Please list two
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
Please verify that you are human*
Should be Empty:

ROBINETTE’S APPLICATION FOR EMPLOYMENT

EDUCATIONAL HISTORY

EMPLOYMENT RECORD

WORK AVAILABILITY

PLEASE LIST THE TIMES YOU ARE AVAILABLE TO WORK:

EMERGENCY CONTACT INFORMATION