Burrito Bistro eApplication

BURRITO BISTRO APPLICATION FOR EMPLOYMENT

Dennis - Harney's Plaza, 485 Rte 134, South Dennis, MA 02660

Hyannis - The Landing, 790 Iyannough Rd, Hyannis, MA 02601

Mashpee - Mashpee Commons, 13 Greene Street, Mashpee, MA 02649

taco@burritobistro.com

www.burritobistro.com

Burrito Bistro is an equal opportunity employer. All applicants are considered without regard to race, age, color, gender, ethnic group, national origin, religion, citizenship, marital status, sexual orientation, veteran status, physical or mental disability, or medical condition, or any other basis prohibited by federal, state or provincial law.
Name*

First NameMiddle InitialLast Name
Address*
City*
State*
Phone*
Email*
example@example.com
Todays Date*

MonthDayYear
Date
Social Security Number (optional)
Date of Birth*

MonthDayYear
Date
Which location are you seeking employment*

DennisHyannisMashpeeAny Location
Position applied*

ManagementCookCounterPrep / DishwasherAnyOther
Number of hours you would like to work per week
Minimum Hours*
Maximum Hours*
Desired Hourly Pay*
I want to work*

Full-timePart-timeLong-term (year-round)Short-term (seasonal)Day ShiftsNight Shifts
Available Start Date*

MonthDayYear
Date

I'm available anytime these days

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Anytime

I'm only available at these times on these days

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Start Time
Finish Time

	Name, City, State	Current Level or Date Graduated	Studied/Degree License/Certificate
High School
College
Vocational Military, Other

Communication Skills*

EnglishSpanishPortugueseFrenchGermanRussianOther
How did you find out about this position?*

Walk-inInternetFriendBurrito Bistro Employee Referral (enter name below)
Burrito Bistro employee referral name
Have any of your friends or relatives been employed by Burrito Bistro?*

YesNo
Enter the names of any of your friends or relatives who have been employed by Burrito Bistro
Will you be able to perform the job for the position you are applying for?*

YesNo
Have you ever been convicted of a crime?*

YesNo
If convicted of a crime, please explain
Personal Reference #1 (not relatives or previous employers)
Name
Relationship
City State
Phone Number
Personal Reference #2 (not relatives or previous employers)
Name
Relationship
City State
Phone
Enter Current or Last Place of Employment #1
Business Name, City, State
Start Date mm/dd/yyy

MonthDayYear
Date
End Date mm/dd/yyy

MonthDayYear
Date
Supervisor Name and Job Title
Job Title Duties
Phone Number
Reason for Leaving
Enter Employment #2
Business Name, City, State
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Supervisor Name and Job Title
Job Title Duties
Reason for Leaving
Phone Number
Enter Employment #3
Business Name, City, State
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Supervisor Name and Job Title
Job Title Duties
Reason for Leaving
Phone Number
May we contact you present employer(s)?*

YesNo
I understand and agree to the following: This application is not a contract of employment.

Should Burrito Bistro hire me and should any of the information I have given in this application be found false, misleading, or incomplete, I shall be subject to dismissal.

Burrito Bistro follows an "at will" employment policy, meaning I or Burrito Bistro may terminate employment at any time for any reason consistent with applicable law.

All hired persons must provide proof of identity and authorization to work in the US. Failure to produce such proof will result in denial of employment.

I authorize the investigation of all statements on this application. Burrito Bistro may contact any educational institution, reference, or employer listed on this application, except my current employer, if so noted, to verify the information I have given. I hereby release all involved parties from any liability arising from such an investigation.

I certify that all the information given in this application is complete and true.
Signature of Applicant*

Clear
Signature Date*

MonthDayYear
Date
Your interviewer is responsible for completing this section.
Should be Empty: