Application For Employment Form - Burger King Restaurant

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Burger King Restaurant
Crew Member
APPLICATION FOR EMPLOYMENT
THIS BURGERKING RESTAURANT IS INDEPENDENTLY OWNED AND OPERATED BYA BURGER KING FRANCHISEE. YOU ARE APPLYING FOR EMPLOYMENT WITH THE INDEPENDENT FRANCHISEE. THE INDEPENDENT FRANCHISEE DOES NOT DISCRIMINATE IN
EMPLOYMENT BECAUSE OF RACE, COLOR, SEX, RELIGON, NATIONAL ORIGIN, AGE, DISABILITY, SERVICE IN THE ARMED FORCES OF THE UNITED STATES OR ANY OTHER PROTECTED STATUS UNDER LOCAL, STATE AND FEDERAL LAW.
(PLEASE PRINT IN INK)
Name
Social Security No.
Are You 18 or older?
Yes
No
If Not, Date of Birth
First Name
Middle Initial
Last Name
Street Address
Apt. No. or Box
City
State
Zip
Telephone No.
IF YOU ARE UNDER THE AGE OF 18, PROOF OF AGE IS REQUIRED PRIOR TO STARTING EMPLOYMENT. ITEMS THAT CAN BE USED AS PROOF OF AGE INCLUDE A BITH CERTIFICATE, PASSPORT, DRIVER’S LICENSE, SCHOOL WORK PERMIT, OR A STATE ID CARD. PLEASE
PROVIDE A COPY OF YOUR PROOF OF AGE TO THE RESTAURANT MANAGER AT THE TIME OF HIRE IF YOU ARE UNDER THE AGE OF 18.
ARE YOU ABLE TO LAWFULLY WORK IN THE U.S.?
YES
NO
INITIAL HIRING AND CONTINUED EMPLOYMENT MAY BE DEPENDENT UPON PROOF THAT YOU ARE NOT AN “UNAUTHORIZED ALIEN” AS DEFINED IN THE IMMIGRATION REFORM AND CONTROL ACT OF 1986. ALL APPLICANTS WILL BE REQUIRED TO FURNISH PROOF
OF IDENTITY AND LEGAL WORK AUTHORIZATION.
EDUCATION
SCHOOL MOST RECENTLY ATTENDED: NAME
LOCATION
PHONE
GRADUATED/GED?
YES
NO
IF NO, LAST GRADE COMPLETED
NOW ENROLLED?
YES
NO
WORK EXPERIENCE
LIST YOUR THREE MOST RECENT JOBS WITHIN THE LAST FIVE YEARS: (
YOU MAY INCLUDE WORK PREFORMANCE ON A VOLUNTEER BASIS)
COMPANY
PHONE
POSITION
ADDRESS
DATES WORKED
FROM
TO
REASON FOR LEAVING
HOURLY RATE OF PAY
SUPERVISOR
(MONTH/YEAR):
COMPANY
PHONE
POSITION
ADDRESS
DATES WORKED
FROM
TO
REASON FOR LEAVING
HOURLY RATE OF PAY
SUPERVISOR
(MONTH/YEAR):
COMPANY
PHONE
POSITION
ADDRESS
DATES WORKED
FROM
TO
REASON FOR LEAVING
HOURLY RATE OF PAY
SUPERVISOR
(MONTH/YEAR):
GENERAL
HAVE YOU EVER WORKED AT A BURGER KING RESTAURANT BEFORE?
YES
NO
IF YES, WHEN, WHERE AND REASON FOR LEAVING
HAVE YOU EVER BEEN DISCHARGED OR ASKED TO RESIGN BY ANY OF YOUR PREVIOUS EMPLOYERS?
YES
NO
IF YES, PLEASE EXPLAIN
WITHIN THE LAST SEVEN YEARS (NEW HAMPSHIRE APPLICATIONS RESPOND ONLY FOR LAST FIVE YEARS), HAVE YOU EVER BEEN CONVICTED, PLED GUILTY OR PLED “NO CONTEST” (NOLO CONTENDERE) TO A FELONY OR MISDEMEANOR OTHER THAN A TRAFFIC
VIOLATION? (FOR APPLICANTS IN HAWAII, DO NOT ANSWER. FOR APPLICANTS IN LOUISIANA, PENNSYLVANIA AND UTAH, DO NOT ANSWER THIS QUESTION WITH RESPECT TO MISDEMEANOR CONVICTIONS. FOR APPLICANTS IN CALIFORNIA DO NOT DISCLOSE ANY
CONVICTIONS FOR MARIJUANA OFFENSES WHICH OCCURRED MORE THAN TWO TEARS PRIOR TO THE DATE OF COMPLETING THIS APPLICATION OR ANY INFORMATION REGARDING A REFERRAL TO AND PARTICIPATION IN A PRETRIAL OR POSTTRIAL DIVERSION
PROGRAM.)
*A CONVICTION WILL NOT NECESSARILY BAR YOU FROM EMPLOYMENT
YES
NO
IF YES, PLEASE EXPLAIN
THIS BURGER KING RESTAURANT OPERATES WITH MULTIPLE SHIFTS, 7-DAYS PER WEEK. PLEASE INDICATE YOUR PREFERRED SHIFTS IN THE CHART BELOW.
M
T
W
T
F
S
S
FROM
TOTAL HOURS AVAILABLE PER WEEK:
TO
DATE AVAILABLE TO START:
HOW WERE YOU REFERRED TO THIS INDEPENDENT FRANCHISEE?

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