For which position(s) are you applying?
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Select all that apply
Name
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First Name
Last Name
Phone
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(###)
###
####
Email
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
If hired, can you provide evidence that you are legally able to work in the United States?
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Yes
No
If hired, do you have a reliable means of transportation to get to and from work?
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Yes
No
If required for the position for which you are applying, are you of legal age to server alcohol in this state?
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Yes
No
N/A - the position for which I am applying does not require serving alcohol
Employment Status Desired
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Full Time
Part Time
Either Full or Part Time
For which hours are you available for each day of the week?
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Please specify availability for each day. For example: Mondays - all day, Tuesdays - 4pm-close, Wednesdays - not available, etc
Are you now, or do you plan to be, enrolled in school taking classes at any time while working here?
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Yes, currently or planning to be enrolled
No, not currently nor planning to be enrolled
Are you available and willing to work weekends and holidays?
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Yes, I am available and willing
No, I am not available nor willing
Are you currently employed?
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Yes
No
If hired, what date would you be able to start?
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MM
DD
YYYY
Have you previously worked for a JGP Restaurant Concepts location?
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Yes
No
If Yes, which location and approximate dates?
Do you have any friends or relatives currently employed by our company?
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Yes
No
If Yes, please provide name of friend or relative
Have you ever been discharged or asked to resign from any position?
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Yes
No
If Yes, please provide additional information
If applicable, please describe which essential tasks of the job for which you are applying, if any, you will need accommodation to perform. Please describe what type of accommodation you will need
List any professional certificates, skills or licenses you possess that are relevant to the position for which you are applying
If relevant to the position for which you are applying, list any POS (point of sale) and computer experience
What is your most recent work history?
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Please include Name of Business, Position, Responsibilities and Dates of Employment (mm/yy)
What is your next most recent work history?
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Please include Name of Business, Position, Responsibilities and Dates of Employment (mm/yy)
What is your next most recent work history?
Please include Name of Business, Position, Responsibilities and Dates of Employment (mm/yy)
What days/times are you available for an onsite interview within the next week?
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Please read carefully before answering below. I certify that I have personally completed this applicaiton. I declare that the information provided in this employment application is true and complete and that I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification for dismissal from employment if discovered at a later date. I agree to immediately notify this company if I am conviceted of a crime while my job application is pending or during my employment, if hired.
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I agree and wish to be considered for possible employment
I do not agree and wish to withdraw my application from consideration
Today's Date
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MM
DD
YYYY
