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    Application For Employment
    Please completely fill out this application. Incomplete applications may disqualify you from consideration for employment.

GENERAL INFORMATION
Name:
Gender:   F 
Current Address: City:
State Zip
Phone Email
Date of Birth
Have you ever been employed by Bay Breeze Restaurants before? Yes   No 
If yes, Name date and location employed:
Are you authorized to work in the U.S. on an unrestricted basis? Yes   No 
Are you eligible to receive any and all licenses/permit required by law to perform the position(s) for which you are applying? Yes   No 
Do you have a valid drivers license? Yes   No  State: DL#:
In the last seven years have you been convicted of or on probation for offenses involing the sale of drugs or in any manner reflecting on your honesty, integrity or propensity for violence? Yes   No 
If yes, please describe:

Have you ever been terminated from a job? Yes   No 
If yes, please explain:
POSITION
Applying For: Category:
Available to begin work: Immediately
Other Date
Willing to work overtime?
Mark Days / Shifts you are available to work:
Mon AM Tue AM Wed AM Thurs AM Fri AM Sat AM Sun AM
Mon PM Tue PM Wed PM Thurs PM Fri PM Sat PM Sun PM
EDUCATION
Name & Address of School Major/Degree Date Attended Graduation Date
PERSONAL REFERENCES
Name Address Phone Number Email
Employment History & Experience IMPORTANT: THIS SECTION MUST BE COMPLETED IN DETAIL.
Employer
Date Employed
Address
City
State
Supervisor
Phone
Reason For Leaving
Title & Duties
Employer 2
Date Employed
Address
City
State
Supervisor
Phone
Reason For Leaving
Title & Duties
Employer 3
Date Employed
Address
City
State
Supervisor
Phone
Reason For Leaving
Title & Duties
OUR COMPANY WILL NOT ENGAGE IN ANY EMPLOYMENT PRACTICES WHICH DISCRIMINATE AGAINST EMPLOYMENT APPLICANTS BECAUSE OF RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE OR DISABILITY.
CERTIFICATION & AUTHORIZATION
Please read carefully before signing.
I certify that the answers given herein are true and complete to my knowledge. I authorize the company and/or its agents, including consumer reporting bureaus, to investigate all statements contained in this application, as may be necessary in arriving at an employment decision (including to, but not limited to, criminal history and motor vehicle driving records). I release the company and/or its agents from any liability which might arise from such investigation.

I understand that this application is not a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) will result in termination. I also understand that the use of illegal drugs or alcohol on the job is prohibited during employment. In the event that I am employed, I agree to abide by all policies and procedures of this company.
Print Your Name: Date:


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