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Employment
First Name :
Last Name :
Contact Phone :
Email :
Address Line 1 :
City :
State/Province :
ZIP/Postal Code :
Are you legally able to be employed in this country? (If hired, verification will be required by law) :
Yes
No
What type of position are you seeking?
Part time
Full time
Seasonal
Temporary
Please check the days you are available to work
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please list your education :
Please provide: previous employment experience, contact information of previous employers, length of employment, and reasons for leaving your previous position.
List any personal references with their contact phone and explain their relation to you
Are you 16 years old or older?
Yes
No
Please explain any limitations on days or hours available to work :
Total hours available per week :
Date available to start work :
Please list any other training or skills you may have :
I certify that I have read and fully completed this form and that the information contained herein is correct to the best of my knowledge. I understand that any omission or false information is grounds for dismissal. I authorize the references listed on this application to release any and all information concerning my previous employment or personal and pertinent information they may have. The Burger Philosophy LLC is an Equal Opportunity Employer. Various federal, state, and local laws prohibit discrimination on account of race, color, religion, sex, age, national origin, disability or veterans status.
Yes
No
