Form 1920 - Burger King Restaurant Crew Member Application For Employment
ADVERTISEMENT
1
2cunur:n
1\.ll~u""
HI::::» IAUHAN I
Crew Member
APPLICATION FOR EMPLOYMENT
THIS
BURGER
KING•
RESTAURANT
IS
INDEPENDENTLY
OWNED AND OPERATED BY
A BURGER
KING°
FRANCHISEE. YOU
ARE
APPLYING FOR EMPLOYMENTWIITH THE INDEPENDENT
FRANCHISEE.
THE INDEPENDENT FRANCHISEE
DOES NOT
DISCRIMINATE
IN EMPLOYMENT
BECAUSE
OF RACE,
COLOR
, SEX,
RELIGION, NATIONAL ORIGIN
,
AGE, DISABILITY, SE
RVICE 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?
0
Yes
0
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 BIRTH 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.
.
AREYOUABLETOLAWFULLYWORK INTHEU.S.?
0
YES
0
NO
INITIAL HIRING AND
CONTINU
ED EMPLOYMENT
MAY
BE DEPENDENT UPON PROOF THAT
YOU ARE
NOT
AN
"UNAUTHORIZED ALIEN" AS DEFINED IN THE IMMIGRATION REFORM
A
ND CONTROL ACT
OF
1986. ALL
APPLICANTS
WILL BE
REQUIRED
TO FURNISH
PROOF
OF IDENTITY AND
LEGAL
WORK AUTHORIZATION.
EDUCATION
SCHOOL
MOST
RECENTLY
ATIENDED: NAME
LOCATION
_
_ _ _
__
_
_ _ _ _ _ _
__
_ _
__
_ _
__ _ _
_
PHONE(
_ _
) -
--
--
-
--
- -
GRADUATED/GED?
0
YES
0
NO
IF
NO,
LAST
GRADE
COMPLETED
-
--
- -
NOW ENROLLED?
0
YES
0
NO
WORK
EXPERIENCE
LIST YOUR THREE MOST RECENT JOBS WITHIN THE
L
AST F IVE YEARS:
(YOU MAY INCLUDE
WORK
PERFORMED ON A VOLUNTEER BASIS)
COMPANY _
__
__
__ _ _ _ _ _ _ _ _ _ _ _ _ _
_
PHONE(
_ _
)
POSITION
ADDRESS
DATES
WORKED
(MONTH/YEAR):
FROM
- -
'- -
TO
--~---
REASON FOR LEAVING
HOURLY RATE OF PAY
SUPERVISOR
COMPAN
Y _
__
_ _
__
_
__
__
__
__
_ _ _ _ _
_
PHONE(
_ _ )
POSITION
ADDRESS
DATES
WORKED
(MONTH/YEAR):
FROM
-~--
TO
_
_
--'---
-
REASON FOR
LEAVING
HOURLY RATE OF PAY
SUPERVISOR
COMPANY
_
_
_
__
_
__
_ _
__
_
__
__
_
_ _
_
PHONE( _ _ )
POSITION
ADDRESS
DATES WORKED
IMONTHNEAR):
FROM
-
- - - ' - -
TO
_ _
__l__
_ _
REASON FOR
LEAVING
HOURLY RATE
OF
PAY
SUPERVISOR
GENERAL
HAVE
YOU
EVER
WORKED
AT
A
BURGER
KING"' RESTAURANT
BEFORE?
0
YES
0
NO
IF
YES,
WHEN,
WHERE AND
REASON FOR LEAVING
_ _ _
__ _ _ _
.c;__
_
_ _
__
_
__ _ _
__
__
_
_
__ _ _
__
__
_ _ _
_
HAVE
YOU EVER
BEEN DISCHARGED OR ASKED TO RESIGN BY
ANY
OF
YOUR
PREVIOUS EMPLOYERS?
0
YES
0
NO
IF
YES,
PLEASE
EXPLAIN
- - - - - -
--
-
-- -
-- - -
--
- - -
--
-
-- -
--
--
- - -
WITHIN
THE PAST
5
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
APPLI CANTS IN THE STATES
OF
LOUISIANA
AND
UTAH,
YOU
DO
NOT
HAVE TO
ANSWER THIS QUESTION
WITH RESPECT TO MISDEMEANOR CONVICTIONS.)
•A
CONVICTION
WILL
NOT
NECESSARILY
BAR YOU FROM EMPLOYMENT
0
YES
0
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
I
I
E
TOTAL HOURS AVAILABLE PER
WEEK:
-
--
--
--
-- -
--
--
--
-
-
--
- - -
--
-
-
-
--
-
FROM
I I I I I I I I
DATE
AVI)ILABLE TO START:
TO
HOW
WERE YOU REFERRED TO
THIS INDEPENDENT
FRANCHISEE?-- - - - - - - - - - - - - - - - - -
--
-
--
-
-
--
-
-
IMPORTANT: COMPLETE AND SIGN REVERSE SIDE
Form 1920
-
8/01
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business