J R Crickets Job Application Form

PERSONAL INFORMATION

Name *

First Name Last Name

Address *

City *

State *

Zip Code *

Date of Birth *

Date

Social Security Number *

Phone Number *

Please enter a valid phone number.

Email

Emergency Contact Name *

Contact Number *

Please enter a valid phone number.

What is your Citizenship? *

Are you authorized to work in the US?

Do you have your own car?

Have you ever plead “guilty” or “no contest” to or have been convicted of a crime?

Criminal Record:

Have you ever worked for J. R. Crickets?

How were you referred to J. R. Crickets? *

List any past or present employees you know *

Do you smoke cigarettes?

EDUCATIONAL INFORMATION

High School Name *

City *

State *

Years attended *

Graduation Date *

University or College Name *

City *

State *

Years attended *

Graduation Date *

Other Education *

Special Skills & Qualifications *

REFERENCES

Reference #1 Name: *

Address *

City *

State *

Telephone *

Years Known *

Relationship to you *

Reference #2 Name: *

Address *

City *

State *

Telephone *

Years Known *

Relationship to you *

PREVIOUS EMPLOYMENT

Employer #1: *

Address *

City *

State *

Employment Start Date *

Employment End Date *

Still Employed There?

May we contact this employer?

Supervisor Name *

Telephone *

Reason for Leaving *

Pay Rate Starting Rate *

Pay Rate Ending Rate *

Job Responsibilities *

Employer #2: *

Address *

City *

State *

Employment Start Date *

Employment End Date *

Still Employed There? *

May we contact this employer? *

Supervisor Name *

Telephone *

Reason for Leaving *

Pay Rate Starting *

Pay Rate Ending *

Job Responsibilities *

Employer #3: *

Address *

City *

State *

Employment Start Date *

Employment End Date *

Still Employed There? *

May we contact this employer? *

Supervisor Name *

Telephone *

Reason for Leaving *

Pay Rate Starting Rate *

Pay Rate Ending Rate *

Job Responsibilities *

EMPLOYMENT DESIRED

Which JR Crickets location, would you like to work?

2nd JR Crickets location, would you like to work?

Date you can begin work *

Salary Desired *

How can you be of service to J. R. Crickets? *

Employment position(s) desired (check all that apply) *

Cook Wait Staff Counter Bar Other

Hours Desired (check all that apply) *

Full Time Part Time Days Nights

List any time you cannot work or have regularly scheduled commitments:

RELEASE

IMPORTANT:
I hereby release employers, schools, or persons from liability in responding to inquiries in connection with my application. By submitting this application, I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial or medical history and other related matters as may be necessary for an employment decision.

J. R. CRICKETS EMPLOYMENT FORM