Application For Employment

*

 First name:
 Last name:
 Are you at least 18 years of age?:
Yes No 		                                  

*
Street address:
City:
State:
 

*
Primary phone number:
 
Secondary phone number:
 
Date of birth:
 / / 		 

*
Zip code:
Social security number:
E-Mail address:
  
*
What is the highest level of education you have completed:
Are you currently enrolled in school?:

Yes No 		   
*
Position sought:
Can you work nights?:
Yes No
Can you work weekends?:
Yes No
 
*
How many hours can you work per week?:
Days available:
Times available:
  
*
Available start date?:
 / /
Employment desired?:
Are you currently employed?:
Yes No		  
*
Do you have a valid drivers license?:
Yes No
Drivers license number, type & state:
Drivers license expiration date:
/ / 		 
*
Any moving violations in last three years?:
Yes No
Any accidents in last three years?:
Yes No
Means of transportation?:
  
*
Ever been convicted of a crime?:
Yes No
If so, please explain:
Are you legally authorized to work in U.S.?:
Yes No		  

This Section For Office Applicants
*
 
Typing:
Yes No
WPM:
10 Key?:
Yes No		                                                   
*
Word processing?:
Yes No
Excel spreadsheet?:
Yes No
Personal Computer?:
Yes No		  
*
PC or MAC?:
Other skills we should know:
 		   
*
Have you served in the military?:
Yes No
Are you a member of National Guard?:
Yes No
Date entered and/or discharged?:
 		 

Employment History
 List last four employers beginning with the most recent.

DATE (Month / Year)
BUSINESS NAME &
ADDRESS OF EMPLOYER
SALARY or HOURLY WAGE
JOB TITLE
REASON FOR LEAVING
From:


 
Starting:
 Title:
To:


 		 Supervisor's name & phone number:
 		Ending:
 Title:
From:


 
Starting:
 Title:
To:


 		 Supervisor's name & phone number:
 		Ending:
 Title:
From:


 
Starting:
 Title:
To:


 		 Supervisor's name & phone number:
 		Ending:
 Title:
From:


 
Starting:
 Title:
To:


 		 Supervisor's name & phone number:
 		Ending:
 Title:

May we contact your current employer?
Yes No

References
List persons other than relatives and former employers.
  NAME ADDRESS OCCUPATION PHONE NUMBER
1. - -  
2. - -  
3. - -  
4. - -  

In Case Of Emergency, Notify
Name:     Relationship:    
Address: Phone Number:


In exchange for the consideration of my job application by [Arena Sports Bar & Grill, LLC (hereinafter called “the Company”), I agree
that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position
applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy
statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied
contract of employment, or to confer any right to remain an employee of [Arena Sports Bar & Grill, LLC, or otherwise to change in any
respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written
instrument signed by the President /General Manager of the Company. Both the undersigned and [Arena Sports Bar & Grill, LLC, may
end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may
unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts
called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools,
previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result
of such contract.

I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after
employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based
on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful
passing of job-related physical examinations.

I understand that, in connection with the routine processing of your employment application, the Company may request from a
consumer reporting agency an investigative consumer report including information as to my credit records, character, general
reputation, personal characteristics, and mode

of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of
any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at
any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason
by either party.


 Signature of Applicant:      Date:  / /

Entering your Name at this time will serve as an electronic signature. You may be required to sign a written copy of this form at a later
date.
 

This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard
to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for
employment with this Company depends solely on your qualifications.

Thank you for completing this application form and for your interest in our business.

 

                                                                                                                                                   

Author information goes here.
Copyright © 2001 [OrganizationName]. All rights reserved.
Revised: 10/21/09.