Employment Application Form Page 3
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1
2
3
4Work Experience
COMPANY
ADDRESS
POSITION & DUTIES
SUPERVISOR
DATES EMPLOYED
REASON FOR
NAME & PHONE
LEAVING
MAY WE CONTACT?
Yes
No
ENDING WAGE: $
MAY WE CONTACT?
Yes
No
ENDING WAGE: $
MAY WE CONTACT?
Yes
No
ENDING WAGE: $
Have you or any of your relatives ever worked for Taco Bell Corp., Pizza Hut, Inc., KFC Corporation, Tricon Global
Restaurants, Inc. or any franchisee of these companies?
Yes
No
RELATIONSHIP*
COMPANY
LOCATION (CITY, STATE)
DATES EMPLOYED
*Residents of Kansas: Include only yourself, spouses, or children.
References
LIST THREE SCHOOL, WORK, OR PERSONAL REFERENCES WHO WE MAY CONTACT.
DO NOT LIST PEOPLE WHO ARE RELATED TO YOU.
Residents of
NAME
TELEPHONE
HOW LONG HAVE
RELATIONSHIP
TYPE OF
Maryland,
NUMBER
YOU KNOWN
TO YOU
REFERENCE
Massachusetts &
THIS PERSON?
Washington State:
SCHOOL
WORK
Please read the
PERSONAL
information on the
back page before
SCHOOL
WORK
signing this
PERSONAL
application.
SCHOOL
WORK
PERSONAL
Applicant’s Statements
READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY APPLICATIONS
THAT ARE SIGNED AND DATED ARE CONSIDERED VALID.
1. The information I am presenting in this application is complete, true and correct to the best of my knowledge. I understand
that any falsification, misrepresentation, or omissions could result in the denial of my application, withdrawal of any offer of
employment, or immediate discharge.
2. I understand that in connection with the application process, Taco Bell and its representatives may contact my former
employers, educational institutions, references, and other relevant third parties to obtain additional information related to
the information given by me in this application. I also understand that Taco Bell may provide such information to its parent
company and affiliates and to other third parties. I hereby request, release, and consent to the release and disclosure of
such information. I further release and hold harmless Taco Bell, Taco Bell’s parent company and affiliates, their officers,
employees and agents, and any other parties inquiring about, investigating, furnishing, communicating, reviewing, or
evaluating such information from any and all potential claims, demands, damages, liabilities, and/or actions of any kind
arising from such activities, whether known or unknown to me presently, that I may have, now or in the future.
3.
If employed, I agree to conform to the rules and regulations of Taco Bell Corp. and understand that I will be an employee
at-will, and my employment may be terminated at any time by me or Taco Bell, with or without notice, for any reason. I
understand that only the President of Taco Bell Corp. or the Vice President of Human Resources of Taco Bell Corp. has
the authority to enter into any agreement for employment for any specified period of time, or to make any agreement
contrary to the foregoing.
APPLICANT’S SIGNATURE
DATE
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Parent category: Business