Application for Employment

Application for Employment

Apply for a position at Big Ray’s by completing all sections of this employment application form.
Applicant Name

First NameLast Name
Application Date

MonthDayYear
Date
Position(s) Applied For
Start Date

MonthDayYear
Date
Desired Wage
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Telephone #
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name
Emergency Contact Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Type of Employment Desired
Are you able to meet the attendance requirements?
Do you have any objection to working overtime if necessary?
Have you ever been previously employed by our organization?
Can you submit proof of legal employment authorization and identity?
If you are under 18, can you furnish a work permit if it is required?
Have you ever been convicted of a crime in the last 7 years?
If yes, please explain (a conviction will not automatically bar employment)
How were you referred to us?
Employer 1 - Employer Name
Employer 1 - Position Held
Employer 1 - Address
Employer 1 - Telephone #
Please enter a valid phone number.Format: (000) 000-0000.
Employer 1 - Immediate Supervisor and Title
Employer 1 - Dates Employed From

MonthDayYear
Date
Employer 1 - Dates Employed To

MonthDayYear
Date
Employer 1 - Salary
Employer 1 - Job Summary
Employer 1 - Reason for Leaving
Employer 2 - Employer Name
Employer 2 - Position Held
Employer 2 - Address
Employer 2 - Telephone #
Please enter a valid phone number.Format: (000) 000-0000.
Employer 2 - Immediate Supervisor and Title
Employer 2 - Dates Employed From

MonthDayYear
Date
Employer 2 - Dates Employed To

MonthDayYear
Date
Employer 2 - Salary
Employer 2 - Job Summary
Employer 2 - Reason for Leaving
Employer 3 - Employer Name
Employer 3 - Position Held
Employer 3 - Address
Employer 3 - Telephone #
Please enter a valid phone number.Format: (000) 000-0000.
Employer 3 - Immediate Supervisor and Title
Employer 3 - Dates Employed From

MonthDayYear
Date
Employer 3 - Dates Employed To

MonthDayYear
Date
Employer 3 - Salary
Employer 3 - Job Summary
Employer 3 - Reason for Leaving
Other Skills and Qualifications
High School - Name, Location, Years Completed, Course of Study, Degrees Earned
College - Name, Location, Years Completed, Course of Study, Degrees Earned
Technical Training - Name, Location, Years Completed, Course of Study, Degrees Earned
Other Education - Name, Location, Years Completed, Course of Study, Degrees Earned
Reference 1 - Name
Reference 1 - Telephone #
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 - Years Known
Reference 2 - Name
Reference 2 - Telephone #
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 - Years Known
Reference 3 - Name
Reference 3 - Telephone #
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 - Years Known
Applicant’s Signature
Upload Resume

Cancelof
Signature Date

MonthDayYear
Date
Should be Empty: