Jimmy Madison's Employment Application

Job Application
First Name:*
Last Name:*
Are you at least 18 years old?*

YesNo
E-mail Address:*
Address:*
City:*
State:*
Zip:*
Phone:*
How did you hear about this position?*

Word of MouthIn House AdvertisementSocial MediaOnline Job Posting
Do you have reliable transportation?*

YesNo
Have you ever been convicted of any misdemeanors or felonies that aren't traffic related?*

YesNo
if yes, please explain
What Position are you applying for?*
Why do you want to work at Jimmy Madison's?*
Upload your resume, if you would like.

Resume is not requied.
Cancelof
Job #1 - Name
Job #1 - Dates
Job #1 - Duties
Job #1 - Pay Rate
Job #1 - Reason for leaving
Job #2 - Name
Job #2 - Dates
Job #2 - Duties
Job #2 - Pay Rate
Job #2 - Reason for leaving
Are you seeking part-time or full-time employment?*
Are you currently employed?*
May we contact your current or last employer for a job reference?
Have you been terminated from any job within the past 7 years?*
How would your previous employers describe your attendance record?*
Which of the following best describes your skills in a full service restaurant?*
Are you willing to work more than 6 hours without a break?*
Can you lift and carry 35 pounds regularly?*
How many hours are you available to work each week?*
Please select all of the days that you are available to work lunch shifts.*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Please select all of the days that you are available to work dinner shifts.*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
How many shifts per week would you consider ideal for your schedule?*
What is the maximum number of shifts that you are willing to work per week?*
Are you attending college?*
Do you smoke?*
If a position was offered to you when would you be available to start working?

MonthDayYear
Should be Empty:

Job Application