Chin-Chin Application of Employment

PERSONAL INFORMATION - STEP 1

Full Name*

Phone #:*

Street Address / State / Zip Code*

Social Security Number

Are you eligible to work in the USA?

YesNo

Are you over the age of 18?*

YesNo

EMPLOYMENT DESIRED - STEP 2

Position Desired*

Date you can start*

MonthDayYear

Compensation Desired

Are you applying for

Full-TimePart-TimeTemporary

If required, are you willing to work overtime?

YesNo

AM Availability up to 4 PM

PM Availability up to restaurant close.

CRIMINAL RECORD HISTORY - STEP 3

Have you ever been convicted of a crime?

YesNo

If yes, please explain

EMPLOYMENT HISTORY - STEP 4

Please state your previous employers from most recent to least recent.

Employer Name

Employment Dates:

Base Rate of Pay

Position

Reason for leaving

Employer Name

Employment Dates:

Base Rate of Pay

Position

Reason for leaving

EDUCATION - STEP 5

Have you completed High School?

YesNo

Name of School

City/State

Years Attended

Have you completed College or University?

YesNo

Name of School

City/State

Years Attended

REFERENCES - STEP 6

Please provide the name, address and telephone number of two people who would be willing to provide a business reference.

1.

NAME/RELATIONSHIP

Phone #

Area CodePhone Number

Business

2.

NAME/RELATIONSHIP

Phone #

Area CodePhone Number

Business

Do you have a resume you would like to upload?

YesNo

Upload your resume

Upload a File

READ CAREFULLY BEFORE SIGNING APPLICATION. I certify that the information given by me in this employment application is true and correct and containing no material omissions of any kind. I understand that any false statements or material omissions of fact made by me in this employment application or the interview process may disqualify me from employment or result in my termination. I authorize KE ENTERPRISE MANAGEMENT GROUP, INC. to investigate my background and fitness for employment, including, but not limited to verification of my social security as well as an investigation of all other information provided in this employment application. I release KE ENTERPRISE MANAGEMENT GROUP, INC its employees and agents from any and all liability for failing to hire me or terminating my employment due to such false information or material omissions. I authorize the companies, schools or persons named above to give KE ENTERPRISE MANAGEMENT GROUP, INC any information regarding my employment or educational background, together with any information they may have regarding my employment or educational background, together with any information they may have regarding my quali cations for the job for which I am applying, whether or not it is in their records. I hereby release said companies, schools or persons and their employees and agents from any and all liability resulting from the disclosure of this information. I UNDERSTAND THAT IF I AM HIRED, MY EMPLOYMENT RELATIONSHIP WITH KE ENTERPRISE MANAGEMENT GROUP, INC IS AT-WILL, WHICH MEANS THAT IT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE, BY EITHER ME OR KE ENTERPRISE MANAGEMENT GROUP, INC In addition, if I am hired, KE ENTERPRISE MANAGEMENT GROUP, INC, will have the right to impose discipline or alter my position at its discretion. I understand and agree that no representative of KE ENTERPRISE MANAGEMENT GROUP, INC may enter into any agreement contrary to the foregoing unless it is done by way of a special, written agreement signed by the President or CEO of KE ENTERPRISE MANAGEMENT GROUP, INC.

I have read and agree to the above statement*

I agree

Electronic Signature*

First NameLast Name

If hired, can you provide proof that you are a citizen or national of the United States of America, a lawful permanent resident or an alien authorized to work in this country? (Proof of employment authorization status will be required if you are hired.)

YesNo

If yes, what was (were) the offenses?

Date(s) and place(s) of conviction

E-mail

Address

Street Address

Street Address 2

CityState

Zip Code

Full Name

First NameLast Name

Briefly describe your qualifications for the work and any special skills or experiences you possess that will be of special benefit in the job for which you are applying:

Employed From

MonthDayYear

Employed To

MonthDayYear

Employed From

MonthDayYear

City/State/Zip Code

Application Completed

MonthDayYearHourMinutesAM/PM Option

Employed To

MonthDayYear

Full Name*

First NameMiddle NameLast Name

Years Known

Do you have more work experience?

YesNo

State

Subjects Studied

Which source prompted your application?

Phone Number

Area CodePhone Number

Years Attended

How do you know this person?

Have you completed a trade, business or correspondence school?

YesNo

Name

City

State

Years Attended

Full Name

First NameLast Name

Full Name*

First NameLast Name

Phone Number

Area CodePhone Number

Years Known

How do you know this person?

Subjects Studied

State

Subjects Studied

Position:

Available all shiftsAvailability as follows:

Can you perform the essential functions of the job for which you are applying with or without reasonable accommodation? (A description of the physical requirements will be provided upon request for your review.)

YesNo

Employed From

MonthDayYear

-

Employed To

MonthDayYear

Employer Name

Salary

Position

Reason for leaving

Do you have more work experience?

YesNo

APPLICATION FOR EMPLOYMENT