Application for Employment

PALOMINO'S RESTAURANTE

First Name

Last Name

Age

Date

Street Address

City

State

Zip

Telephone

Social Security

Position applied for

How did you hear of this opening

When can you start

Desired Wage $

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?

Yes No

Are you looking for full time employment

Yes No

If no, what hours are you available?

Are you willing to work swing shift?

Yes No

Are you willing to work swing graveyard?

Yes No

Have you ever been convicted of a felony?

Yes No

If yes, please fully describe the circumstances

Education: School Name and Location Year Major Degree

High School

College

Other

In addition to your work history, are there are other skills, qualifications, or experience we should consider:

Employment History: (Start with most recent employer.)

Employer 1:

Company Name

Address

Telephone

Date Started

Starting Wage

Starting Position

Date Ended

Ending Wage

Ending Position

Name of Supervisor

May we contact?

Yes No

Responsabilities

Reason for leaving

Employer 2:

Company Name

Address

Telephone

Date Started

Starting Wage

Starting Position

Date Ended

Ending Wage

Ending Position

Name of Supervisor

May we contact?

Yes No

Responsabilities

Reason for leaving

Employer 3:

Company Name

Address

Telephone

Date Started

Starting Wage

Starting Position

Date Ended

Ending Wage

Ending Position

Name of Supervisor

May we contact?

Yes No

Responsabilities

Reason for leaving

Branch Office

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