SHARKY'S BURRITO COMPANY

SHARKY'S BURRITO COMPANY

Application for Employment
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, handicap or national origin.
Date

MonthDayYear
Date
Social Security Number
Full Name
Email Address
example@example.com
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Referred by
Are you 18 years of age or older?

YesNo
Employment Desired
Position desired
Salary Desired
Date you can start

MonthDayYear
Date
Are you currently employed?

YesNo
If employed, can we contact your present employer?

YesNo
Have you ever applied to this company before? If yes, when and where?
Grammar School: List below the name of school and location, last year completed and if you successfully graduated.
High School: List below the name of school and location, last year completed and if you successfully graduated.
College: List below the name of school and location, last year completed and if you successfully graduated.
Former Employer 1: List below your most recent employer. Please include the date (month and year), name and address of employer, reason for leaving, salary and position.
Former Employer 2: List below your second most recent employer. Please include the date (month and year), name and address of employer, reason for leaving, salary and position.
Former Employer 3: List below your third most recent employer. Please include the date (month and year), name and address of employer, reason for leaving, salary and position.
Former Employer 4: List below your fourth most recent employer. Please include the date (month and year), name and address of employer, reason for leaving, salary and position.
Reference 1

First NameLast Name
Reference 1 Phone Number
Please enter a valid phone number.
Relationship to Reference 1
Reference 2

First NameLast Name
Reference 2 Phone Number
Please enter a valid phone number.
Relationship to Reference 2
Reference 3 Name

First NameLast Name
Reference 3 Phone Number
Please enter a valid phone number.
Relationship to Reference 3
High School
Today's Date

MonthDayYear
Date
Authorization

I authorize investigation on all statements contained in this application. I understand that misrepresentation of information requested is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What days are you available to work? Our hours of operation are 11 a.m. - 9 p.m. Monday - Saturday
Signature

Clear
Should be Empty:

SHARKY'S BURRITO COMPANY

Employment Desired