Employment Application

HEADER: Applying For:

APPLYING FOR

HEADER: Employee Info

EMPLOYEE INFORMATION

First Name

Last Name

Mobile Phone

Alt Telephone

Address

City

State

Zipcode

FIELD HEADER: Essential Functions

Are you able to perform the essential functions of the position with or without accommodations?

Essential Functions

Yes No

FIELD HEADER: Older Than

If necessary for the job, are you older than: (Choose One)

FIELD HEADER: Legally Eligible

I am legally eligible for employment in the U.S.?

Legally Eligible

Yes No

SUB HEADER: If Necessary

If necessary for the job, I am able to:

FIELD HEADER: Overtime

Work overtime?

Overtime

Yes No

FIELD HEADER: Driver's License

Provide a valid Alaska Driver's License?

Driver's License

Yes No

SUB HEADER: If Yes...

If yes, fill out the following:

Issuing State

FIELD HEADER: Shift Types

Work the following shifts: (Check all that apply)

HEADER: Employment History

EMPLOYMENT HISTORY

¹ List most recent employment first. ² Include summer or temporary jobs. ³ List all experience or employers related to this job. ⁴ No more than 10 years history.

REPEATER: Start

Employer Name

Position Title

City

State

Spacer

Start Date

End Date

Pay

Duties, Skills

Reason for Leaving

Supervisor

Phone

REPEATER: End

+ Add Employer

HEADER: Education

EDUCATION

SUB: High School

High School

School Name

Diploma / GED

SUB: College

College, University, Business, Technical

REPEATER: Start

Institution Type

School Name

Spacer

Field of Study

Years Completed

Graduate / Degree

REPEATER: End

+ Add Institution

HEADER: Military

MILITARY

FIELD HEADER: Veteran?

Are you a veteran?

Yes No

Duty / Specialized Training:

Header SKILLS & QUALIFICATIONS

SKILLS & QUALIFICATIONS

Other Qualifications

Computers Skills

Licenses, Certificates, Regiistrations

Additional Skills

HEADER: References

REFERENCES

List two personal references who are not relatives or former supervisors.

SUB: Reference #1

Reference #1

Reference 1 • Name

Reference 1 • Relationship

Reference 1 • Years Known

Reference 1 • Phone

Reference 1 • Address

SUB: Reference #2

Reference #2

Reference 2 • Name

Reference 2 • Relationship

Reference 2 • Years Known

Reference 2 • Phone

Reference 2 • Address

HEADER: Contact

CONTACT

SUB: Emergency Contact

In case of accident or illness, please contact:

Contact Name

Contact Relationship

Contact Phone

Contact Address

FINE PRINT: Procedure

Information to the Applicant:

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.

If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above.

FINE PRINT: Equal Employment

Equal Employment Opportunity:

While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no effect on your application for employment.

Acceptance

I agree that my submitted data is accurate, being collected, and stored.

Employment Application

Appetizer

Fire-Grilled Appetizer Course

Finish

Fireside Dessert

Starter

Smoked Salmon Chowder

Salad

Bread & Greens Course

Main

Buffet Experience