EMPLOYMENT

PERSONAL INFORMATION

Your Name (required)

Home Street Address (required)

City (required)

State (required)

Zip (required)

Home Phone

Cell Phone (required)

Work Phone

May we contact you at work?

YesNo

Email (required)

Position(s) applying for

(Control-click to select)

—Please choose an option—BartenderBarbackSecurityLeather Shop AssociateOther

Date available

Are you interested in?

Check all that apply
Full-timePart-timeTemporarySummer

Days and hours available

Are you willing to relocate? YesNo

Are you 18 years or older? YesNo

(No one under age 18 may be hired.)

EDUCATION

High School

Name and address

Degree/Area of Study

Number of years attended

Graduated? YesNo

College

Name and address

Degree/Area of Study

Number of years attended

Graduated? YesNo

US MILITARY SERVICE

Branch of Service

Technical Specialization

Rank attained

LEGAL

Are you legally authorized to work in the United States? YesNo
(Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986)

Were you ever discharged by any company? YesNo

If yes, give name of company(ies)

Reason for the discharge:

EMPLOYMENT HISTORY

List employment starting with your most recent position.

Is any additional information relative to a different name necessary to check your work record?
YesNo

If yes, what name?

Name & Address of Employer 1

Dates: From to
Position held: | Supervisor:

List major duties:

Salary or Wages: Starting | Final

Reason for leaving:

Name & Address of Employer 2

Dates: From to
Position held: | Supervisor:

List major duties:

Salary or Wages: Starting | Final

Reason for leaving:

Name & Address of Employer 3

Dates: From to
Position held: | Supervisor:

List major duties:

Salary or Wages: Starting | Final

Reason for leaving:

Name & Address of Employer 4

Dates: From to
Position held: | Supervisor:

List major duties:

Salary or Wages: Starting | Final

Reason for leaving:

Have you previously worked for The Eagle? YesNo

REFERENCES

Business References (Do not list relatives)

Please list Name, Address, Work Phone, Title, and Years Known

Federal, State and local laws prohibit discrimination based on race, color, sex, religion, affectional or sexual orientation, national origin, ancestry, age, physical or mental disability that does not affect ability to perform essential job functions with or without reasonable accommodation, or any other protected status not listed in this statement. Your application will be considered in full accord with applicable Federal, State, and local requirements.

PLEASE READ CAREFULLY

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand also, that I am required to abide by all rules and regulations of The Eagle Wilton Manors and its subsidiaries.

I understand and agree that if employed, employment will be "AT WILL." That is, either I or the employer may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application does not imply employment and that this application and/or any other documentation are not contracts of employment.

By clicking the below box, you verify that you have read, and understand, the above.

By checking this box, I agree to submit to a full criminal and credit background check. Offer of employment can be based on certain criteria from this information. All background information obtained is kept private, and credit criteria is based on the Fair Credit Reporting Act.
CLICK TO ACCEPT:

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