Employment Application, The Parkway Restaurant

Date of application

Name *

First

Last

Address

Enter your full address

Phone number

Email *

Date Available

Social security number

Desired Salary

Position Applied for

Are you a citizen of the United States?

If yes, are you authorized to work in the U.S.?

Have you ever worked for this company?

If yes, when?

Have you ever been convicted of a felony?

If yes, explain:

Reference #1 *

Enter all the details for your first reference. Ex: Name, Company, Phone number, Address, Relationship

Reference #2

Enter all the details for your second reference. Ex.: Name, Company, Phone number, Address, Relationship

Reference #3

Enter all the details for your third reference. Ex.: Name, Company, Phone number, Address, Relationship

Previous Employment #1 *

Enter all the details for your previous employment #1. Ex.: Company Name, Phone #, Address, Job Title, Responsibilities, Salary, Dates of Employment, Reason for Leaving

Previous Employment #2

Enter all the details for your previous employment #2. Ex.: Company Name, Phone #, Address, Job Title, Responsibilities, Salary, Dates of Employment, Reason for Leaving

Previous Employment #3

Enter all the details for your previous employment #3. Ex.: Company Name, Phone #, Address, Job Title, Responsibilities, Salary, Dates of Employment, Reason for Leaving

Signature *

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.