Fuddruckers Application For Employment
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1
2
3APPLICATION FOR EMPLOYMENT
FUDDRUCKERS RESTAURANTS
(please print clearly or type)
PERSONAL INFORMATION
Name ____________________________________________________________________________________Date______________
Last
First
Middle
Present Address
_________________
Address
Street
Apt #
______________________________________________________________________________________
City
State
Zip Code
Phone # (______) _________________Social Security#_______________________DL#______________________________
__________________
Type of driver’s license
State Issued______Restrictions___________________________________
:
In case of an emergency notify
__________________________________________________________________________________________
Name
Relationship
__________________________________________________________________________________________
Address
Phone
How did you learn about Luby’s Fuddruckers job opportunities: (please c
)
Newspaper
Banner
Marquee
Texas Workforce Commission
Walk-in
On-line
Friend (Name)__________________________________________________
Relative (Name)_________________________________________________ Other _______________________________
Have you ever been employed by Luby’s before? Yes
No Where / When? __________________________________
Luby's Fuddruckers requires employees to work schedules that vary in hours and days of the week.
Can you comply with this policy?
Yes No
If no, explain:_________________________________________________
Number of hours desired________Full-time or part-time _________ Are you willing to work overtime if needed? Yes No
Please list any hours you are NOT available to work.____________ What date are you available to start working? ________
Some of our positions require that you be 18 or older.
If hired for one of these positions, can you show proof of age?
Yes No
Are you authorized to work in the U.S. on an unrestricted basis? Yes No
Check the position/s you are applying for:
Main Office (please specify) ___________________________________________________________________
Contract / Culinary Services (please specify) ______________________________________________________
Other (please specify):________________________________________________________________________
CREW / ASSOCIATE: (
)
Butcher
Cook
Checker
Cashier
Counter
Dishwasher
Porter
Waitstaff
Service
please check
Attendant
Fill In
Food to Go
Supervisor / Breakfast
Salad
Vegetable Prep
Have you been diagnosed with, have been exposed to and/or live with anyone who has been diagnosed with the following:
Check: Hepatitis A
Shigelle
E. Coli
Salmonelle
Norovirrus
Do you have a current health card? Yes
No
Equal Opportunity Employer
HR Form No. 201(revised 09/2002, 08/2007, 09/2010) Emp App
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Parent category: Business