Boudreau & Thibodeau's Application for Employment

Boudreau & Thibodeau's Cajun Cookin' Application for Employment

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status.
Applicant information
Full Name

First NameMiddle NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Residential Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Position Applied For
Insert cover letter or resume here (optional)
Are you legally eligible for employment in the United States? (proof of US citizenship or immigration status is required if hired)
Have you been convicted of a felony? (Note: the existence of a criminal record does not constitute an automatic bar to employment)
If you answered YES to having been convicted of a felony, state the nature of the offense and disposition of the case. Include dates and places.
Do you have a reliable means of transportation to get to work on time for every scheduled shift?
Are you 18 years of age or older?
If you are under 18 years of age, can you furnish a work permit?
Employment Information
Are you seeking full time, part time, or temporary employment?
Our restaurant operates 7 days per week from 9am until 10pm or 11pm daily. Please let us know if you are NOT ABLE to work on certain days and/or timeframes. If your schedule is completely open, respond with "Open Availability".
Are you willing to work overtime?
Are you willing to work weekends?
Are you willing to work holidays? (We typically close for major holidays, such as New Year's Day, Easter, Independence Day Thanksgiving, Christmas Eve and Christmas Day, but that is subject to change and we are typically open for other holidays such as Labor Day, Memorial Day, etc.)
Are you currently employed?
If hired, when would you be able to start working?
Have you ever worked for this organization before?
If you have worked here before, what name was used for your employment with us?
List any friends or relatives employed by this company.
Have you ever been discharged or asked to resign from any position?
If yes, please describe.
List any certifications and licenses that you have here.
Work History

Please begin with your most recent job.
How much experience do you have working in restaurants? (ex: 0.5 years as a cook, 3 years as a server, 2 years as a dishwasher, etc.)
Job #1
Company Name: Phone Number:
Company Address:   Type a label
Job Title:blank
Starting Date:   Date   Ending Date:   Date
Beginning Pay Rate: Ending Pay Rate:
Supervisor's Name: Supervisor's Title:
Brief Description of Job Duties:
Reason for Leaving:
May We Contact Employer for Reference?:
Job #2
Company Name: Phone Number:
Company Address:   Type a label
Job Title:blank
Starting Date:   Date   Ending Date:   Date
Beginning Pay Rate: Ending Pay Rate:
Supervisor's Name: Supervisor's Title:
Brief Description of Job Duties:
Reason for Leaving:
May We Contact Employer for Reference?:
Job #3
Company Name: Phone Number:
Company Address:   Type a label
Job Title:blank
Starting Date:   Date   Ending Date:   Date
Beginning Pay Rate: Ending Pay Rate:
Supervisor's Name: Supervisor's Title:
Brief Description of Job Duties:
Reason for Leaving:
May We Contact Employer for Reference?:
Educational Background
Tell us your highest level of education, the name of the school at which you received it, and its address. (Examples: Some College at Nicholls State in Thibodaux LA, 10th grade at Terrebonne High School in Houma LA, etc.)
Authorizations and At-Will Employment Agreement
I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification form my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired. I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician.
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Boudreau & Thibodeau's Cajun Cookin' Application for Employment

Applicant information

Employment Information

Work History

Educational Background

Authorizations and At-Will Employment Agreement