Employment Application

Employment Application

Our client is an equal opportunity employer. Applicants will be considered regardless of race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status. Equal access to the hiring process, services, and employment is available to all individuals. Applicants requiring accommodations to the application and/or interview process should contact the Human Resource Representative.

Each question should be answered completely and accurately.

No action will be taken on this application until all questions have been answered and the application has been signed and dated. Verification of eligibility to work in the U.S. will be required if an employment offer is made.

Personal Info
Full Name*

First NameLast Name
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com

Employment History
WORK HISTORY

Please list your most recent employer.
1. Employer
Employer's Name (Most current)*
Address & location of business*
Your title*
May we contact this employer?*

YESNO
Supervisor's name*
First and Last Name
Phone number*
Start date*

MonthDayYear
End date

MonthDayYear
Wages END:*
Salary or Hourly*
Work performed:*
Reason for leaving or current position?*

Additional Info
ADDITIONAL INFORMATION
Are you over the age of 18?*

YESNO
Are you eligible to work in the United States?*

YESNO
Do you have a U.S. military service record?*

YESNO
Have you been convicted of a felony/misdemeanor (other than traffic violations)?*

YESNO
If so, provide the location, date and result/outcome for each conviction:*
List any additional information you would like us to consider:

References & Emergency Contact
REFERENCE

List one professional reference, (business or work, not relatives) that you have known for at least one year.
1. Full Name*

First NameLast Name
Best phone number to reach them*
Years acquainted*
Relationship*
EMERGENCY CONTACT

List one emergency contact that we can notify in the event of an emergency or urgernt matter.
1. Full Name*

First NameLast Name
Best phone number to reach them*
Relationship*

Authorization
AUTHORIZATION

I understand that Toasted Mobile Bar, LLC is making no employment offer at this time. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for employment or for termination, if employed.

I authorize Toasted Mobile Bar, LLC to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, qualifications, credit history, driving record, and other relevant information, if job-related. I give my full consent for all contacted individuals, including former employers, to provide information concerning this application, and I waive my right to bring any cause of action against these individuals for any and all liability for damages arising from furnishing the requested information to Toasted Mobile Bar, LLC. I acknowledge that a facsimile and/or photocopy of this form is as valid as the original.

Pre-employment testing may be required (drug testing, background checks, physical examinations, motor vehicle checks).Testing may be applicant or employer paid based on the employer.I understand that any offer of employment may be withdrawn if drug tests are positive and/or if a condition is discovered for which no reasonable accommodation can be made.

I understand that this application is current for 60 days. At the conclusion of this time, if I have not heard from Toasted Mobile Bar, LLC and still wish to be considered for employment, it will be necessary to complete a new application.

I understand that if hired, employment is at-will, regardless of the employer, and may be terminated by myself, the employer or Toasted Mobile Bar, LLC at any time, with or without cause or notice, for any reason or no reason.
By entering your name, you agree to accept the terms of the above document with an electronic signature.*

I agreeI do not agree
You must agree to accept the terms of the document in order to submit an application.
Signature

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Type signature*
Date*

MonthDayYear
Date
Should be Empty:

Bar Expierence