Job Application - Flying Fish

Location

First Name

Last Name

Home Phone

Cell Phone

Street Address

City

State

Zip Code

Can you provide proof of your right to work in the U.S.?

Yes No

Are you at least 18 years old?

Yes No

How did you learn about our company?

Position of Interest

Cashier Kitchen Staff General Employee

When will you be available to begin?

Pay expected per week

Are you able to work holidays?

Yes, I can work most/all holidays Yes, I can work some holidays No

If Hired, is there anything which would prevent you from reporting to work each day, on time, to perform your job?

Please CHECK shifts you ARE NOT able to work

Morning Shift

How many shifts per week would you like to work?

Are you willing to work overtime?

Yes No

Education

Name of High School

City of High School

Did you graduate, or have a GED?

Yes No

Name of College

City of College

What certificates or degrees did you obtain from this college?

Are you currently enrolled in school?

Yes No

If YES: what is your school schedule?

Is there other notable education you'd like to provide?

Employment History

Previous Employer 1

Company Name

Company Location

Company Phone

Job Title(s)

Job Responsibilities / Duties

Employment Start

Employment End

Supervisor Name and Contact Info

May we contact this employer? (If no; Why not?)

Yes No

Reason for Leaving

Previous Employer 2

Company Name

Company Location

Company Phone

Job Title(s)

Job Responsibilities / Duties

Employment Start

Employment End

Supervisor Name and Contact Info

May we contact this employer? (If no; Why not?)

Yes No

Reason for Leaving

Have you ever been convicted of a felony?

Yes (please explain below) No, I have never been convicted of a felony. I prefer not to answer

IF YES, explain below

ACKNOWLEDGEMENT

Acknowlegement

I CERTIFY THAT THE INFORMATION GIVEN HEREIN IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE YOU TO MAKE SUCH INVESTIGATIONS AND INQUIRIES OF THE INFORMATION PROVIDED HEREIN, AND OTHER MATTERS RELATED THERETO, AS MAY BE NECESSARY. I HEREBY RELEASE EMPLOYERS, SCHOOLS, OTHER PERSONS, INSTITUTIONS, AND BUSINESSES FROM ALL LIABILITY IN RESPONDING TO INQUIRIES IN CONNECTION WITH MY APPLICATION. I UNDERSTAND THAT FALSE INFORMATION OR MISLEADING INFORMATION GIVEN IN MY APPLICATION OR DURING MY INTERVIEWS MAY RESULT IN REFUSAL TO HIRE, OR DISCHARGE IN THE EVENT OF EMPLOYMENT. I UNDERSTAND AND AGREE THAT IF I AM HIRED, MY EMPLOYMENT IS AT WILL. I ALSO UNDERSTAND THAT IF I'M HIRED MY EMPLOYMENT IS FOR NO DEFINITE LENGTH OF TIME. I MAY TERMINATE MY EMPLOYMENT AT ANY TIME AND I MAY BE DISMISSED AT ANY TIME WITHOUT PRIOR NOTICE. I FURTHER UNDERSTAND AND AGREE THAT NOTHING IN THIS APPLICATION FORM SHALL CONSTITUTE A CONTRACT OF EMPLOYMENT OR A GUARANTEE OF EMPLOYMENT. I ALSO UNDERSTAND THAT ANY POLICIES OR PROCEDURES IMPLEMENTED BY THE COMPANY IN THE EVENT OF MY EMPLOYMENT ARE FOR PURPOSES OF OPERATIONS ONLY AND THAT ANY POLICIES ARE NOT INTENDED TO BE NOR CONSTITUTE A CONTRACT FOR MY EMPLOYMENT. IN ADDITION, I UNDERSTAND THAT ANY OF THESE POLICIES OR PROCEDURES MAY BE CHANGED AT ANY TIME AT THE EMPLOYER'S DISCRETION WITHOUT NOTICE.