La Fiesta Mexican Restaurant and Cantina

Applicant Data

Which location are you applying for?

Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Position applying for:
Years experience:
Date Available To Start:
Driver's license number:		State:

Employment History

Employer 1

Company Name:		Date of Hire:
Address:		Date of Separation:
Position:		Phone Number:
Reason for Leaving:		Supervisor's Name:
Description of Duties:		Ending Wage:

Employer 2

Company Name:		Date of Hire:
Address:		Date of Separation:
Position:		Phone Number:
Reason for Leaving:		Supervisor's Name:
Description of Duties:		Ending Wage:

Education

Name and Location	Years	Graduated	GPA	Degree/Major

Additional Information

Are you a citizen of the United States? If not, do you have work papers?
Are you 18 years old or older? If not, a job permit may be required.
Type of employement desired?
Have you ever worked for this company? If yes, when.

Have you ever been terminated or suspended from any position? If yes, please describe.

Have you ever been convicted of a felony in the last seven(7) years? If yes, please explain.

Do have reliable transportation to come to work and/or the work site?

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

References

Name	Relationship	Phone Number	Years Known

By pressing the Submit button, I attest the information presented in this application is correct and accurate to the best of my knowledge. I understand that if the information is found to be a misrepresentation, it will be sufficient cause to cancel this application for consideration of employment or for termination of employment.

I give Lafiesta the authority to investigate all the information presented in this application and the authority to obtain additional job related information. I agree to release from all liability all individuals or organizations Lafiesta may contact to obtain this information.

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