Application Form For Employment
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1
2LYNN DAIRY QUEENS, INC.
APPLICATION FOR EMPLOYMENT
Date: ____________________________________
This restaurant is independently
owned and operated.
Position Applied for: ______________________Date Available: _________________________________
Location Applying at: _____________________Referred by: ____________________________________
Instructions to Applicant: Please understand: Every Item on this form must be answered to the best of your ability. Please print or have
printed - use pen or typewriter. Your qualifications will be reviewed and you will be given consideration for any suitable vacancies. If you
are employed, this will become part of your permanent personnel record. This is an independently owned and operated location. No
independently owned and operated location. No
independently owned and operated
question is asked for the purpose of excluding any applicant due to protected class status, or any other class of individuals protected
by law. If you require assistance in order to complete this application, please let us know.
PERSONAL
Last Name
Last Name
First Name
First Name
Middle Name
Middle Name
Address:
Address:
Street
Street
City
City
State
State
Zip
Zip
Telephone (include area code)
Telephone (include area code)
Are You 18 or Older?
Are You 18 or Older?
Are You 18 or Older?
Are You 18 or Older?
Are You 18 or Older?
Are You 18 or Older?
Are You 18 or Older?
Are You 18 or Older?
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
If No, Age:
If No, Age:
If No, Age:
If No, Age:
If No, Age:
If No, Age:
If No, Age:
If No, Age:
Are you legally authorized to work in the United States?
Are you legally authorized to work in the United States?
Are you legally authorized to work in the United States?
Are you legally authorized to work in the United States?
Are you legally authorized to work in the United States?
Are you legally authorized to work in the United States?
Are you legally authorized to work in the United States?
Are you legally authorized to work in the United States?
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
EDUCATION
High School (Name and Address) ____________________________________________________________________________________________________
High School (Name and Address)
Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
If no, last grade completed________________________Grade Average ____________________________
If no, last grade completed
If no, last grade completed
If no, last grade completed
If no, last grade completed
If no, last grade completed
College (Name and Address) ________________________________________________________________________________________________________
College (Name and Address)
Other (Name and Address) __________________________________________________________________________________________________________
Other (Name and Address)
Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?
Did you graduate?
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
If no, number of hours completed__________________Grade Average ____________________________
If no, number of hours completed
If no, number of hours completed
If no, number of hours completed
If no, number of hours completed
If no, number of hours completed
Degree_________________________Major _____________________Minor _____________________Date you expect to graduate ___________________
Degree
GENERAL EMPLOYMENT INFORMATION
Were you previously employed with this independently owned Company?
Were you previously employed with this independently owned Company?
Were you previously employed with this independently owned Company?
Were you previously employed with this independently owned Company?
Were you previously employed with this independently owned Company?
Were you previously employed with this independently owned Company?
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
If yes, when? ______________to_____________
If yes, when? ______________to_____________
If yes, when? ______________to_____________
If yes, when? ______________to_____________
If yes, when? ______________to_____________
If yes, when? ______________to_____________
What location?__________________________________ Last job held?_________________________________________________
What location?__________________________________ Last job held?_________________________________________________
Are you willing to relocate?
Are you willing to relocate?
Are you willing to relocate?
Are you willing to relocate?
Are you willing to relocate?
Are you willing to relocate?
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
If yes, where _________________________________________
If yes, where
If yes, where
If yes, where
If yes, where
If yes, where
Do you have a reliable method of transportation?
Do you have a reliable method of transportation?
Do you have a reliable method of transportation?
Do you have a reliable method of transportation?
Yes
Yes
Yes
Yes
No
No
No
No
Type of employment sought:
Type of employment sought:
Type of employment sought:
Type of employment sought:
Type of employment sought:
Type of employment sought:
Type of employment sought:
Type of employment sought:
Type of employment sought:
Type of employment sought:
Type of employment sought:
Type of employment sought:
Full time
Full time
Full time
Full time
Full time
Full time
Full time
Full time
Full time
Full time
Full time
Full time
Part time
Part time
Part time
Part time
Part time
Part time
Part time
Part time
Part time
Part time
Part time
Part time
Temporary
Temporary
Temporary
Temporary
Temporary
Temporary
Temporary
Temporary
Temporary
Temporary
Temporary
Temporary
Summer
Summer
Summer
Summer
Summer
Summer
Summer
Summer
Summer
Summer
Summer
Summer
Other (specify)__________________________
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Date Available: ____________Salary Acceptable __________per hour __________per week
Date Available:
Total Hours Available per week _________________
Most restaurant employees are required to work a schedule which includes some mornings, some evenings and some weekends. Are you willing
Most restaurant employees are required to work a schedule which includes some mornings, some evenings and some weekends. Are you willing
to accept such a schedule? Yes
to accept such a schedule? Yes
to accept such a schedule? Yes
to accept such a schedule? Yes
to accept such a schedule? Yes
to accept such a schedule? Yes
No
No
No
No
No
No
If no, are you willing to work:
If no, are you willing to work:
If no, are you willing to work:
If no, are you willing to work:
If no, are you willing to work:
If no, are you willing to work:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Days:
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
Evenings: Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Weekends:
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
Holidays: Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Indicate hours you are available to work on the following days or check anytime, if applicable.
Indicate hours you are available to work on the following days or check anytime, if applicable.
Mon. ____to______
Mon.
Anytime
Anytime
Anytime
Tues.____ to ______
Tues.
Tues.
Anytime
Anytime
Anytime
Wed. ____ to ______
Wed.
Wed.
______
______
Anytime
Anytime
Anytime
Thur._____to______
Thur.
Thur.
Anytime
Anytime
Anytime
Fri. ______to______
Fri.
Anytime
Anytime
Anytime
Sat._____ to ______
Sat.
Sat.
Anytime
Anytime
Anytime
Sun. ____ to ______
Sun.
Sun.
______
______
Anytime
Anytime
Anytime
List any relatives presently employed with this company:________________________________________________________________________________
List any relatives presently employed with this company:
In case of emergency, notify: ________________________________Phone ________________________Relationship ______________________________
In case of emergency, notify:
[T:\HRD082.INDD]
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