Employment Application

Applying for location

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


Employment History

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

Company Name

Date of Hire

Address

Date of Seperation

Position

Phone Number

Reason for leaving

Supervisor's Name

Duties

Ending wage


Education

Name and Location

Years

Graduated

GPA

Degree/Major


Additional Information

Are you a United States citizen? If not, do you have work papers?

Are you 18 years old or older? If not, a job permit may be required.

Type of employment desired?

Have you ever worked for this company? If yes, when:



Have you ever been terminated or suspended from any position? If yes, describe:



Have you ever been convicted of a felony in the last seven(7) years? If yes, explain:



Do have reliable transportation to come to work and/or the work site?

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.

References

Name

Relationship

Phone Number

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.

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