Employment Application

    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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