Employment Application Personal Info:Step 1 of 9 First Name * Middle Name Last Name * Local Address Address City State Zip Permanent Address Address City State Zip Contact Info Phone Number * Aternate Phone Number Email * Referred By Employment Desired:Step 2 of 9 Position Explanation (Optional) Position - First Choice * Choose One:BartenderLine CookServerHost/HostessFood RunnerExpeditorBusserDishwasherDoor Staff Position - Second Choice * Choose One:BartenderLine CookServerHost/HostessFood RunnerExpeditorBusserDishwasherDoor Staff Salary Requirement Date Available * Last Day You Can Work (If Summer Job, Returning to School, etc) * Are You Currently Employed? Yes No May We Contact Your Current Employer? Yes No Can You Work Night and Weekend Shifts? * Yes No Are You 21 Years of Age or Older? * Yes No Date of Birth: mm/dd/yyyy (Optional) Employment Eligibility:Step 3 of 9 If You are Offered Employment, will you be able to Submit Proof of Eligibility to Work in the United States? * Yes No (Identification, Social Security Card, Work Authorization) General Questions:Step 4 of 9 Do You Know CPR? Yes No Do You Know the Heimlich Maneuver? Yes No Why do you Wish to Work at Seacrets? How can you help Seacrets? Education:Step 5 of 9 High School Name and Location Number of Years Attended Did You Graduate Yes No Course of Study or Degree College Name and Location Number of Years Attended Did You Graduate Yes No Course of Study or Degree Trade, Business or Other Name and Location Number of Years Attended Did You Graduate Yes No Course of Study or Degree More Information Additional Colleges, Training, etc. Employment Experience:Step 6 of 9 Employer 1 Name and Address Dates of Employment Phone Job Title Reason for Leaving Employer 2 Name and Address Dates of Employment Phone Job Title Reason for Leaving Employer 3 Name and Address Dates of Employment Phone Job Title Reason for Leaving References:Step 7 of 9 Reference 1 Name Address Phone Relation Years Known Reference 2 Name Address Phone Relation Years Known Reference 3 Name Address Phone Relation Years Known Physical Record:Step 8 of 9 Do You Have Any Physical Limitations that Preclude You from Performing Any Work for Which You are Being Considered? * Yes No Please describe your limitations. Terms of Employment:Step 9 of 9 I, the undersigned, state that all information given by me in this application is true to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize O.C. Seacrets, Inc. to verify such information and to contact any reference given by me and release the company from any and all claims arising from such verification and reference efforts. I understand and agree that, if hired, my employment is for no definite period and may be terminated by the company at any time without advance notice; its only obligation being to pay my wages or salary due to me. The company shall have the right at any time after the termination of employment to furnish to others information concerning my employment record with the company, including the information contained in this application. I agree not to disclose any of the company's trade secrets or other confidential or restricted information. These conditions apply to the application for employment at this time and apply also to any future positions I may hold with O.C. Seacrets, Inc. Electronic Signature * (Type Full Name) Check Yes to Confirm Electronic Signature * Yes Subscribe to Email Alerts * Yes No File Upload Drop a file here or click to upload Choose File Maximum file size: 52.43MB Captcha Dropdown Option 1 Submit If you are human, leave this field blank. Δ ↑
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