Employment Application | VIVA Tacos & Tequila

PERSONAL INFORMATION

Position Applied For

Date of Application

Full Name

Email Address

Street Address

City

State

Zip Code

Phone Number

Social Security Number

Have you ever been convicted of a felony or misdemeanor?*

Yes

No

If yes, please describe the nature of the crime(s).

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?*

Yes

No

How were you referred to the company?

Have you ever been employed with us before?

Yes

No

Dates employed

Date available to start

Desired Salary Range

Please list days and evenings available for work:

EDUCATION, TRAINING AND EXPERIENCE

High School

Location

Years Completed

Military

Years of Service

Skills/Duties

College/University

Number of years completed

School location

Did you graduate?

Yes

No

Degree/diploma earned

EMPLOYMENT HISTORY

Are you currently employed?

Yes

No

Free Text

Below, please describe past and present employment positions, dating back five years. Please account for all periods of unemployment.

Employer 1

Business Type

Telephone Number

Name of Supervisor

Address (Street, City, State, Zip)

Length of Employment (from date to date)

Position and Duties

Reason for Leaving

May we contact this employer for references?

Yes

No

Employer 2

Business Type

Telephone Number

Name of Supervisor

Address (Street, City, State, Zip)

Length of Employment (from date to date)

Position and Duties

Reason for Leaving

May we contact this employer for references?

Yes

No

Employer 3

Business Type

Telephone Number

Name of Supervisor

Address (Street, City, State, Zip)

Position and Duties

Reason for Leaving

May we contact this employer for references?

Yes

No

Please read and initial each paragraph, then sign below by typing your name and today's date.

I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure employment can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.

Yes

No

I understand that this application is not an employment contract, and termination can occur with or without cause and/or reason.

Yes

No

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.

Yes

No

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out or in any way related to such examination or revelation.

Yes

No

Your name

Today's date

Application for Employment

Contact Us

PERSONAL INFORMATION

EDUCATION, TRAINING AND EXPERIENCE

EMPLOYMENT HISTORY

Please read and initial each paragraph, then sign below by typing your name and today's date.

HOURS