Employee Application

A complete application consits of this completed form, and your current resume if any. (Information found on your resume need to be duplicated here.)

Please type or print legibly

Social Security Number
Your Date Of Birth
Last
First
Middle
Maidan
Street
City
State
Zip
Street
City
State
Zip
Email Address
Home
Daytime
Cell
Citizenship
if not US, are you a permanent resident of the US?          
Are you currently authorized to work in the United State?           (Proof of eligibility will be required upon arrival)

Education

Type of School Name of School City & State Year Completed Major & Degree
High School
Undergraduate
Graduate School

Professional Experience

Current or Most Recent Employer Supervisor Employment Dates
Briefly describe your title and duties:
Briefly describe any experience in the restaurant industry:
Briefly describe any education and/or experince in computers:

Criminal Record

Have you ever been convicted of a crime,other than trafiic violation?          
If yes,explain nature and location of offense(s) leading to conviction(s),how recently such offense(s) was/were commited,sentence(s) imposed, and type(s) of rehabilitation.

References

List two professional references, people with whom you have worked, preferably present or former supervisors.

Reference 1.

Name
Relationship
Position
Employer
Address
Phone
Email

Reference 2.

Name
Relationship
Position
Employer
Address
Phone
Email

Consent Aggrement and Publicity Release

In consideration of my prospective employment by CHICKEN N WAFFLES
In authorize investigation of all statements contained in this form,including my criminal record and driving record.I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice.I herreby give CHICKEN N WAFFLES permision to contact my previous or current schools or employers.
Signature
Date