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Applicant Data
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First Name:
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Last Name:
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Date Available To Start:
Salary Requirement:
If you are hired and are under 18 years of age, can you provide required proof of your eligibility to work?
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If No, please explain:
Have you ever applied to Rib Crib before?
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Have you worked for Rib Crib before?
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No
Are you authorized to work in the United States? (Documentation of authorization to work in the U.S. will be required if an offer of employment is made and accepted)
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Type of employment desired:
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Part Time
Temporary Seasonal
Days
Nights
Have you ever pled “guilty,” “no contest,” or been convicted of a criminal offense either felony or misdemeanor?
*Answering “yes” to this question 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.
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If Yes, please give dates and details:
Education
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High School:
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References:
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Name 2 :
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Previous Employment:
(begin with most recent position)
1. Dates of Employment:
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Position(s) Held:
Firm:
Address:
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Supervisor:
Title:
Responsibilities:
Starting Salary & Title:
Ending Salary & Title:
Reason For Leaving:
May we contact this employer for a reference?
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2. Dates of Employment:
From:
To:
Position(s) Held:
Firm:
Address:
Phone:
Supervisor:
Title:
Responsibilities:
Starting Salary & Title:
Ending Salary & Title:
Reason For Leaving:
May we contact this employer for a reference?
Yes
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3. Dates of Employment:
From:
To:
Position(s) Held:
Firm:
Address:
Phone:
Supervisor:
Title:
Responsibilities:
Starting Salary & Title:
Ending Salary & Title:
Reason For Leaving:
May we contact this employer for a reference?
Yes
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If you worked in any of your previous positions under another name, please give that name(s) below: (For reference checking purposes)
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Firm:
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