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THE BOULEVARD INN & bISTRO CAREERS
Job Application
Contact Information
*
Indicates required field
Name
*
First
Last
Mobile Phone
*
Phone Number
*
Birthdate
*
Email
*
Street/Postal Address
*
Line 1
Line 2
City
State
Zip Code
Country
Social security #
*
position applying for
*
date available for work
*
RESUME UPLOAD
*
Max file size: 20MB
HAVE YOU APPLIED WITH US BEFORE?
*
YES
NO
if yes, when?
*
APART FROM ABSENCE FOR RELIGIOUS OBSERVANCE, ARE YOU AVAILABLE FOR FULL TIME WORK?
*
YES
NO
IF NOT, WHAT HOURS CAN YOU WORK?
*
ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES?
*
YES
NO
PAY EXPECTED
*
WILL YOU WORK OVERTIME IF ASKED?
*
YES
NO
HAVE YOU BEEN CONVICTED OF ANY CRIMES IN THE PAST TEN YEARS, EXCLUDING MISDEMEANORS AND SUMMARY OFFENSES WHICH HAVE NOT BEEN ANNULLED, EXPUNGED, OR SEALED BY A COURT?
(YES OR NO) If yes, please explain
*
OTHER SPECIAL TRAINING OR SKILLS (LANGUAGES, MACHINE OPERATION, ETC.)
*
DID YOU SERVE IN THE U.S. ARMED FORCES?
*
YES
NO
IF YES, IN WHAT BRANCH?
*
DESCRIBE ANY TRAINING RECEIVED RELEVANT TO THE POSITION FOR WHICH YOU ARE APPLYING FOR
*
HIGHEST LEVEL OF EDUCATION
*
Some High School
Completed High School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
PhD
EMPLOYMENT HISTORY
COMPANY NAME
*
Phone Number
*
ADDRESS
*
EMPLOYED (MM/YY TO MM/YY)
*
NAME OF SUPERVISOR
*
WEEKLY PAY
*
JOB TITLE
*
DESCRIBE YOUR WORK RESPONSIBILITIES
*
REASON FOR LEAVING
*
COMPANY NAME
*
Phone Number
*
ADDRESS
*
EMPLOYED (MM/YY TO MM/YY)
*
NAME OF SUPERVISOR
*
WEEKLY PAY
*
JOB TITLE
*
REASON FOR LEAVING
*
DESCRIBE YOUR WORK RESPONSIBILITIES
*
COMPANY NAME
*
Phone Number
*
ADDRESS
*
EMPLOYED (MM/YY TO MM/YY)
*
NAME OF SUPERVISOR
*
WEEKLY PAY
*
JOB TITLE
*
REASON FOR LEAVING
*
DESCRIBE YOUR WORK RESPONSIBILITIES
*
MAY WE CONTACT THE EMPLOYERS YOU LISTED?
*
YES
NO
IF NO, WHICH EMPLOYER(S) DO YOU NOT WANT TO BE CONTACTED AND WHY
*
Please read and understand this statement before signing your application.
The information I have provided in this Application for Employment is true, correct and
complete. False, incomplete or misrepresented information of any kind, will be sufficient cause
for my application to be rejected or, if discovered after I am employed, cause for immediate
termination of my employment.
I authorize the employer to contact and obtain information about me from previous
employers, educational institutions and "references" I provided, and any other party necessary
to verify the accuracy of information I disclosed in this application, a related employment resume or
a personal interview. To assist in the processing of my application, I waive all rights and claims I
may otherwise have against the employer or its representatives, for seeking, and using information
to evaluate my employment request and all other persons, corporations or organizations who
provide information for this purpose.
This application will expire in 30 days. After that date, unless otherwise notified, I
understand that my status as an applicant will end. I may re-apply for employment in the future by
completing a new application.
This application is not an employment agreement. If I accept an offer of employment
I understand the employer may terminate my employment at any time, with or without cause and
without prior notice, unless required by law. I understand that no one , other than an executive
officer of the employer, has authority to enter into any employment agreement with terms contrary
to the foregoing and then only in writing signed by such officer.
DATE
*
SIGNATURE
*
Submit
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