Employment

Personal Information
Name:
Phone:
Email:
Address:
City:
State:
Zip:
Permanent Address:
City:
State:
Zip:
Date You Can Start:
$ Wages Desired Per Week:
Please check the shifts you are available to work (hours may vary):
Availability: Mon: Tues: Wed: Thurs: Fri: Sat: Sun:
Open (a.m.)
Lunch (a.m/p.m.)
Dinner (p.m.)
Close (p.m./a.m.)
Have you ever applied or worked at Baraonda before?
If yes,where?
Location:
Supervisor:
Please List Three Most Recent Jobs:
(start with most recent or current job)
Employer 1
Company:
Supervisor:
Dates: From: / /
  To:     / /
City/Location:
State:
Phone: ( )
Last Rate of Pay:
Reason For Leaving: Resigned with Notice
Resigned without Notice
Terminated
Eligible for Re-Hire?
Employer 2
Company
Supervisor:
Dates: From: / /
  To:     / /
City/Location:
State:
Phone: ( )
Last Rate of Pay:
Reason For Leaving: Resigned with Notice
Resigned without Notice
Terminated
Eligible for Re-Hire?
Employer 3
Company
Supervisor:
Dates: From: / /
  To:     / /
City/Location:
State:
Phone: ( )
Last Rate of Pay:
Reason For Leaving: Resigned with Notice
Resigned without Notice
Terminated
Eligible for Re-Hire?
Are you 16 years or older:
(applicants under 16 are not eligible for hire)
Are you 18 years or older:
Have you ever been convicted of a felony?
If Yes, please explain:

(A conviction record does not necessarily disqualify you from employment. Factors such as the date of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.)

The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age.

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability from any damage that may result from furnishing the same to you.

I understand and agree that, if hired, 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 any prior notice."

Baraonda Carbonari is an equal opportunity employer. Neither the information contained on this web page nor the application you might submit as a result of this web page guarantees either an interview for employment or employment with the Company.

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