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Position applied for: *

Name: *

First

Last

Email: *

Date you are available to begin working:

Wage desired:

Address:

Street, City, State, Zip Code

Phone Number:

Social Security Number:

If under 18 years of age, can you provide required proof of your eligibility to work?

Are you a citizen of the United States?

Have you been referred to Skyway Drive-In for employment? If yes, by whom?

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Relative
Walk-In
Other

Do you have limitations on the hours or your ability to work? If yes, please explain.

If this does not apply to you please reply N/A

Have you ever been employed by Skyway Drive-In?

If yes, please list dates of employment and reason for leaving.

Are you currently employed?

If yes, may we contact your current employer?

Are you currently on "lay-off" status and subject to recall?

Have you ever been convicted of a felony?

If yes, please explain the conviction(s), nature of the offense, your age at the time and your rehabilitation since the conviction(s).

Highest grade completed grades 1-12:

Selected Value: 1

Highest grade completed College / Trade school - Graduate school:

Selected Value: 1

Name and location of school last attended:

Course of study:

Did you earn a degree or diploma?

Have you received any vocational or trade training?

If yes, please explain.

List below your most recent employer and their address. Please account for all periods of unemployment. *

Dates of employment:

Name of your supervisor:

Your job title:

Your starting salary and ending salary:

Explain your job duties:

Your reason for leaving:

Employer

Dates of employment:

Name of your supervisor:

Your job title:

Your starting salary and ending salary:

Explain your job duties:

Your reason for leaving:

Personal References: Please give the name of three persons who are not related to you and you have known for at least two years. *

First

Last

Occupation:

Phone Number:

Reference #2: *

First

Last

Occupation:

Phone Number:

Reference #3: *

First

Last

Occupation:

Phone Number:

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Large & Schaaf, Inc. Skyway Drive-In is an equal employment opportunity employer and considers applicants for positions without regard to sex, age, race, handicap / disability, color, religious creed, national origin, ancestry, service in the armed forces in the United States or any other legally protected status.