Name (required)
Address (required)
City (required)
State (required)
Zip (required)
Phone
Email
Position applying for
Years of experience
Date available to start
Driver's license #
State
Employer 1
Company Name
Date of Hire
Address
Date of Seperation
Position
Phone Number
Reason for leaving
Supervisor's Name
Duties
Ending wage
Employer 2
Name and Location
Years
Graduated
GPA
Degree/Major
Are you a United States citizen? YesNo If not, do you have work papers? —Please choose an option—YesNo
Are you 18 years old or older? YesNo If not, a job permit may be required.
Type of employment desired? Full-TimePart-TimeTemporarySeasonal
Have you ever worked for this company? YesNo If yes, when:
Have you ever been terminated or suspended from any position? YesNo If yes, describe:
Have you ever been convicted of a felony in the last seven(7) years? YesNo If yes, explain:
Do have reliable transportation to come to work and/or the work site? YesNo
Answering yes to these questions does not constitute an automatic rejection to employment. Date of offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Name
Relationship
Years Known
By pressing the Submit button, I attest the information presented in this application is correct and accurate to the best of my knowledge. I understand that if the information is found to be a misrepresentation, it will be sufficient cause to cancel this application for consideration of employment or for termination of employment.
I give La Fiesta the authority to investigate all the information presented in this application and the authority to obtain additional job related information. I agree to release from all liability all individuals or organizations La Fiesta may contact to obtain this information.