Employment Application

Bender's Tavern Employment Application

Bender's Tavern is an equal opportunity employer. All qualified applicants will be considered without regard to race, religion, creed, color, sex, national origin, age, handicap or ancestry as required by law.

PERSONAL INFORMATION
Application Date*
MM slash DD slash YYYY
Name*
First Middle Last
Present Address*
Street Address Address Line 2 City State ZIP Code
Permanent Address (if different than above)
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email Address*
Are you 18 years of age or older?*
- Yes
- No
If no, what is your date of birth?
MM slash DD slash YYYY
Are you legally entitled to hold employment in the United States?*
- Yes
- No
Have you ever been convicted of a felony or misdemeanor which has not been expunged from your record, other than minor traffic violations?*
- Yes
- No
If "yes," where and for what offense(s) were you convicted?
A conviction will not necessarily be a bar to employment. Factors such as date, nature and number of offenses, age at the time of the offense and rehabilitation, as well as job duties, will be considered.
Have you ever been fired, discharged, or asked to resign from a job?*
- Yes
- No
If "yes," identify the former employer(s) by name, address, and telephone number. Explain the circumstances and provide the date(s).
EMPLOYMENT DESIRED
Position*
Salary Desired*
Date You Can Start*
MM slash DD slash YYYY
AVAILABILITY
Indicate which days you can work by entering the earliest starting time and latest ending time.
Start Time
Mon Tue Wed Thur Fri Sat Sun
End Time
Mon Tue Wed Thur Fri Sat Sun
EDUCATION
*Degree of educational achievement is considered in the hiring process only to the extent that educational achievement is a requirement for performing the job.
High School
Name and Location Subjects studied / degree received Years Attended Did you graduate?
College
Name and Location Subjects studied / degree received Years Attended Did you graduate?
Trade School
Name and Location Subjects studied / degree received Years Attended Did you graduate?
EMPLOYMENT EXPERIENCE
List below present and past employment, beginning with your most recent (or current) employer.
Are you employed now?*
- Yes
- No
If so, may we contact your present employer?*
- Yes
- No
Employer 1 Address
Name & Address of Employer #1 Date From To
Employer 1 Position
Position Reason for leaving Salary upon leaving
Employer 2 Address
Name & Address of Employer #2 Date From To
Employer 2 Position
Position Reason for leaving Salary upon leaving
Employer 3 Address
Name & Address of Employer #3 Date From To
Employer 3 Position
Position Reason for leaving Salary upon leaving
Employer 4 Address
Name & Address of Employer #4 Date From To
Employer 4 Position
Position Reason for leaving Salary upon leaving
Work Experience*
To select more than one, hold down the "Control" key and click on your selections.
REFERENCES
Give the names of three persons not related to you, whom you have known for at least one year.
Reference #1
Name Phone Number Email Address Title/Company Years Acquainted
Reference #2
Name Phone Number Email Address Title/Company Years Acquainted
Reference #3
Name Phone Number Email Address Title/Company Years Acquainted
APPLICATION TERMS & SUBMISSION
If assistance is needed during any phase of the hiring or employment process, please advise. I certify that the facts contained in this application are true and complete to the est of my knowledge and understand that if employed, incomplete, false or misleading statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing the same to you. I also authorize you to obtain information regarding my record with the Bureau of Motor Vehicles if the job for which I am applying will require driving as part of my job duties. I understand that pursuant to the company's job application process I may be required to undergo drug testing. I understand that I may be disqualified from further employment consideration if I refuse to take or fail the drug test, unless I can demonstrate that a) the test was erroneous; or b) prior to taking the test I ceased using illegal drugs and am now enrolled in a supervised rehabilitation program; or c) I am taking the drugs under supervision of a licensed health care professional. I knowingly and voluntarily consent to the company's request to undergo a drug test. I further release this company, its agents, representatives and employees from any and all claims and liability for damages associated with or arising from my submission to the test. In consideration of my employment, I agree to conform to the company rules, regulations and policies, and agree that my employment is at-will and that my employment and compensation can be terminated with or without cause, and with or without notice, at any time at the option of either the company or me. I understand that the rules and regulations and any personnel manual do not constitute a contract of employment.
Accept terms outlined above*
- Yes, I accept the employment application terms
Application Submitted By*

Bookkeeper
Bus Person
Carver
Chef
Cook
Cook Helper
Counter
Cashier
Dietitian
Dishwasher
Food Prep Technician
Fountain
Host or Hostess
Kitchen Helper
Manager
Pantry
Pastry Cook
Porter
Pot Washer
Salad
Sandwiches
Typist
Vegetable Cook
Wait Staff
Wait Staff (arm service)
Wait Staff (tray service)

Bender's Tavern Employment Application

PERSONAL INFORMATION

EMPLOYMENT DESIRED

AVAILABILITY

EDUCATION

EMPLOYMENT EXPERIENCE

REFERENCES

APPLICATION TERMS & SUBMISSION