The Cow / An Eatery - Evergreen, CO Employment Application

The Cow / An Eatery - Evergreen, CO Employment Application

Please complete the entire application.
Employer Information

Employer: The Cow / An Eatery
Address: 28215 Highway 74
City/State/ZIP: Evergreen, Colorado 80439

It is the policy of The Cow / An Eatery to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability, or veteran status.
Applicant Information
Applicant Full Name*

First NameLast Name
Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of years at this address*
Daytime Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Evening Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Last Four Digits of Your Social Security Number*
Emergency Contact

Who should be contacted if you are involved in an emergency?
Contact Name*

First NameLast Name
Relationship to you*
Emergency Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Day Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Evening Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Job Position
Job Position Applied For:*
Full TimePart Time
Salary Amount Desired*
Per*
Who referred you to our company?
YesNo
If yes, please list here:*
YesNo
If yes, when?*
YesNo
How will you get to work?*
YesNo
If no, please state any limitations: *
YesNo
If you are offered employment, when would you be available to begin work?*
YesNo
Applicant's Skills

Check those skills that you have. List any other skills that may be useful for the job you are seeking. Once the skill is selected enter the number of years of experience, and choose the number on the scale that corresponds to your ability for each particular skill. ("1" represents poor ability, while "5" represents exceptional ability.)
TypingMicrosoft Office Suite (Word, Excel, etc.)Accounting/BookkeepingAnswering TelephonesCustomer ServiceOrganizational
Typing - Years of Experience*
Typing Skill Ability*

1

2

3

4

5

1 is Poor, 5 is Exceptional
Microsoft Office Suite (Word, Excel, etc.) - Years of Experience*
Microsoft Office Suite (Word, Excel, etc.) Skill Ability*

1

2

3

4

5

1 is Poor, 5 is Exceptional
Accounting/Bookkeeping - Years of Experience*
Accounting/Bookkeeping Skill Ability*

1

2

3

4

5

1 is Poor, 5 is Exceptional
Answering Telephones - Years of Experience*
Answering Telephones Skill Ability*

1

2

3

4

5

1 is Poor, 5 is Exceptional
Customer Service - Years of Experience*
Customer Service Skill Ability*

1

2

3

4

5

1 is Poor, 5 is Exceptional
Organizational - Years of Experience*
Organizational Skill Ability*

1

2

3

4

5

1 is Poor, 5 is Exceptional
YesNo
Additional Skills:
Please share only relevant skills pertinent for the position applying for. Please include type of skill, years of experience and skill ability in with the rating of 1 to 5.
Applicant Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) that you have held, beginning with the most recent, and list and explain any gaps in employment.
YesNo
Employer Name*
Supervisor Name*
Employment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Duties*
Reason For Leaving*
Dates of Employment (Month/Year)*
Add Another Employer
Employer Name*
Supervisor Name*
Employment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Duties*
Reason For Leaving*
Dates of Employment (Month/Year)*
Add Another Employer
Employer Name*
Supervisor Name*
Employment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Duties*
Reason For Leaving*
Dates of Employment (Month/Year)*
YesNo
Additional Employers / Employment Information
Use this area to add any other employment information not already listed
Additional Employment Information
If needed, use this area to list and explain any gaps in employment or any information that may be pertinent to your previous employment.
Applicant's Education and Training
High School / GEDCollegeOther Training (graduate, technical, vocational)
High School/GED Name and Address *
YesNo
College/University Name and Address *
YesNo
If yes, degree(s) received:*
Other Training (graduate, technical, vocational): *
Please indicate any current professional licenses or certifications that you hold:
Awards, Honors, Special Achievements:
References

List any two non-relatives who would be willing to provide a reference for you.
Reference #1 Name*

First NameLast Name
Reference #1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference #1 Relationship*
Reference #2 Name*

First NameLast Name
Reference #2 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference #2 Relationship*
Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:
Certification

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for the rejection of my application or, if employment commences, immediate termination.

I authorize The Cow / An Eatery to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Company President, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of The Cow / An Eatery, except in a specific written contract of employment signed on behalf of the organization by its Company President, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION, AND I UNDERSTAND
AND AGREE TO ITS TERMS.
E-Signature: (By typing your full name below you are certifying this document)*

First NameLast Name
Should be Empty: