Employment Application


Date of Review(Month/Day/Year):             Position Applied For:




Your Name:


Address:     City:     State:     Zip:


Phone:   Mobile:   Your Email:



Date Available to Start: Social Security#: Salary Requirement:


If you are under 18 and we require a work permit, can you furnish one?


If no, please explain:


Have you ever worked for Mirchi Cafe?  Yes No                         If yes, when?


Are you a citizen of the United States?  Yes No


If not, are you legally allowed to work in the United States?


Type of employment desired:


Have you ever pleaded "guilty," no contest," or been convicted of a crime? Yes No


If yes, give dates and details:

Answering "yes" to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.


SUMMARIZE YOUR SPECIAL SKILLS:





EMPLOYMENT HISTORY


(begin with most recent positions)



Restaurant:

Dates of Employment:
From:     To:     Position Held:


Address: Phone: Manager Name:


Responsibilities:


Starting Salary:     Ending Salary:


Reason for leaving:


May we contact this employer for a reference? Yes No







Restaurant:

Dates of Employment:
From:     To:     Position Held:


Address: Phone: Manager Name:


Responsibilities:


Starting Salary:     Ending Salary:


Reason for leaving:


May we contact this employer for a reference? Yes No







Restaurant:

Dates of Employment:
From:     To:     Position Held:


Address: Phone: Manager Name:


Responsibilities:


Starting Salary:     Ending Salary:


Reason for leaving:


May we contact this employer for a reference? Yes No






I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that any false or misleading information given in my application or interview(s) may result in discharge.

Date: