Job Application

Which company are you applying with?*

Taqueria Pancho Villa- WaycrossTaqueria Pancho Villa- DouglasTaqueria Pancho Villa - Hinesville

What position are you applying for?*

CashierCarryout AttendantServerChip RunnerCookDiswahserAny Position Available

APPLICANT INFORMATION
Desired Starting Pay (per hour)*
Name*

First NameLast Name
Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone*
Date of Birth*

MonthDayYear
Date
Date Available*

MonthDayYear
Date
Are you authorized to be employed in the United States?*

YesNoNot sure
Have you been convicted of a felony or have ANY convictions from the last 5 years?*

YesNoNot sure
If yes, explain if desired
Are you at least 18 years of age? Being less than 18 does not prevent your employment, but it does restrict you from serving alcohol.*

YESNONo, but will be soon
EDUCATION
High School Name City & State Dates Attended
College/Trade School Name City & State Dates Attended
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?

YesNo
Company
Phone
Address
Supervisor
Job Title
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?

YesNo
DISCLAIMER AND SIGNATURE
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 release.
Tell us why you think you would like to work with us.*
Any other information you want to share
Signature*

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