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Application for Employment at Charlie's Kitchen & The Red House

Name *
Name
Phone *
Phone
Address
Address
EMPLOYMENT DESIRED
Date you can start *
Date you can start
Once complete, please Submit and attach you resume.
EDUCATION
Please enter the name and location of your High School.
Please click the appropriate choice below.
Below, please enter you High School GPA.
Please enter the name and location of the college you attended or are attending.
Please click the appropriate choice below.
Below, please enter you College GPA.
If you have any other scholastic or technical experience you would like us to know about, please detail that below.
FORMER EMPLOYERS
Please list your last 4 employers starting with the present or most recent.
From
From
To
To
$
Second Most Recent Employer
From
From
To
To
$
REFERENCES
Below, please give the names of 3 persons not related to you, whom you have known at least one year.
1st Reference
Name
Name
Address
Address
2nd Reference
Name
Name
Address
Address
IN CASE OF EMERGENCY
PLEASE FILL IN BELOW WHO WE WOULD CONTACT IN CASE OF AN EMERGENCY
Name
Name
Address
Address
Phone
Phone
Below, please tell us anything else that you'd like us to know about your skills and experience that might not have been covered above.
YOUR DIGITAL SIGNATURE
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PREVIOUS NOTICE. I have read and understand the above agreement. BY TYPING MY NAME BELOW, IN ACCORDANCE WITH THE ESIGN ACT OF 2000, I AGREE TO ALL OF THE TERMS AND CONDITIONS LISTED ABOVE. By printing my FULL NAME below, I certify that my answers are true and complete to the best of my knowledge.
Digital Signature
Digital Signature