Name (required)
Email (required)
Phone Number (required)
Social Security Number
Date of Birth
Date available to start
Address
City, State, Zip
Desired salary
Position Desired click hereServerBartenderPrep/Line CookDishwasher
Are you currently employed? yesno
May we contact your current employer? yesno
Are you eligible to work in the US? yesno
Have you applied to this company before? yesno
High School
Did you graduate? yesno
Year graduated
Subject studied
College
Trade, Business, or other school
Employer Name and Address 1
Job title / Description of duties
Name of supervisor
May we contact them? yesno
Starting salary
Ending salary
Dates
Employer Name and Address 2
May we contact them?yesno
Reference 1
Relationship
Contact number
Years known
Reference 2
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of Seafood Unlimited has any authority to enter unto any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized representative of Seafood Unlimited. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the American with Disabilities Act (ADA) and other relevant federal and state laws.
