Application Page

By filling out this application, I certify that the information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed below.

First / Last name
Date Of Birth
Street Address
City / State / Zip code
Phone Number:
Are you eligible to work in the United States?	Yes No
Have you ever been convicted of a crime?	Yes No
If yes please explain:
Days available	Monday Tuesday Wednesday Thursday Friday Saturday
Hours available (Part time only)	10:30 a.m. - 5:00 p.m. 5:00 p.m. - Close (9:30 pm - 10:30pm)
What date are you available to start work?
Name of High school
Address of High school
Types of degrees
Graduation Date
Skills and Qualifications: Licenses
Where was your present or last employer:
Previous employers Phone number:
Responsibilities from previous employer:
Salary:
Reason for leaving:
May We Contact Your Present Employer?	Yes No
References: Name/Title Address Phone ( At least 3
Do you have a valid Drivers Licence?	Yes No
What made you apply here?
How do you deal with and perceive criticism?
E-Mail Address ( if available)
Do you own a vehicle?	Yes No

Chateau Orleans Poboys