EMPLOYMENT APPLICATION Contact InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Home Phone*Alternative PhoneReferral SourceNewspaperJob ServiceEmployee ReferralOtherJob InformationPosition DesiredManagerServerHostBartenderBar-BackKitchen ManagerChefLine CookDishwasherBrewerLocationChar BarMickey's HideawayBeer KitchenHours DesiredFull-timePart-timeIf Part-time, how many hours are you available?10 hrs per week20 hrs per week30 hrs per week40 hrs per weekSalary ExpectedPlease indicate yearly salary or hourly rate Date Available MM slash DD slash YYYY Are you presently employed? Yes No If so, may we contact your present employer? Yes No Are you available to work whatever schedule is necessary to help us meet our corporate objectives and our obligations to our clients? Yes No If no, what shifts are you available? Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Saturday PM Sunday AM Sunday PM Can you make it to work each day on time? Yes No Have you ever been employed by Mickey's Hideaway, Beer Kitchen, or Char Bar? Yes No If yes, please explain when and where you were employed.Be sure to indicate the position held and reason for leaving the position.Names and Relationships of relatives or acquaintances employed at WKC Restaurants:BackgroundAre you prevented from being employed in this country because of Visa or Immigration status? Yes No The following information will only be considered if it is relevant to the position for which you are applying or could bear upon state licensing requirements.Do you use any illegal drugs? (answer is optional)Not AnsweredYesNoThe following information will be used only to the extent that is relevant to the qualifications and position for which you applyWhat is the highest grade completed? Do you have a high school diploma or GED? Yes No Did you graduate from college? Yes No If yes, Name of College Attended Degree Earned Employment HistoryList all employment, including military, for the past 7 years beginning with your present job or last job held.Employer Position/Job Duties Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY SalaryPlease indicate yearly salary or hourly wage Supervisor Address PhoneReason for leavingEmployer Position/Job Duties Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY SalaryPlease indicate yearly salary or hourly wage Supervisor Address PhoneReason for leavingEmployer Position/Job Duties Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY SalaryPlease indicate yearly salary or hourly wage Supervisor Address PhoneReason for leavingEmployer Position/Job Duties Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY SalaryPlease indicate yearly salary or hourly wage Supervisor Address PhoneReason for leavingEmployer Position/Job Duties Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY SalaryPlease indicate yearly salary or hourly wage Supervisor Address PhoneReason for leavingHave you ever been dismissed or asked to resign from employment? Yes No If yes, explain. Please include name of employer and reason.Have you ever been granted a military or government security clearance? Yes No If yes, Level of Clearance: List any special job skills or qualifications that may be relevant to the position for which you are applying.References5 persons not related to you and who are not former employers.Name Occupation Address PhoneName Occupation Address PhoneName Occupation Address PhoneName Occupation Address PhoneName Occupation Address PhoneUnderstandings and AgreementsI understand that any misrepresentation, falsification or omission of this application shall be sufficient reason for refusal or dismissal of my employment. I hereby authorize investigation of all matters contained in this application and agree that if the results of such investigation are not satisfactory, any offer of employment made by WKC Restaurants or any subsidiary hereinafter referred to as WKC Restaurants may be withdrawn, or my employment with WKC Restaurants may be terminated immediately. I agree to conform and adhere to the rules and regulations of WKC Restaurants. Further, I understand and agree that this application and any other materials I may receive are not intended to be, nor shall I be construed to be a contract of employment, and that my employment and compensation may terminate, with or without cause, and with or without notice, at any time, at the option of either WKC Restaurants or myself. In consideration of any offer of employment by WKC Restaurants, I hereby acknowledge, understand and agree that the following will constitute terms and conditions of any such employment: Any losses or expenses incurred by WKC Restaurants, its clientele, or other third parties as a result of my unauthorized actions shall be immediately reimbursed to WKC Restaurants on terms that are satisfactory and acceptable to WKC Restaurants. To the extent permitted by law, I agree and hereby authorize WKC Restaurants to reduce my wages for any sums owing by me hereunder.By clicking here you are electronically signing that you agree to the above statements: Yes No CAPTCHA
