Application For Employment Form
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1
2APPLICATION FOR EMPLOYMENT
AN EQUAL OPPORTUNITY EMPLOYER
In order for you to be considered for employment, this application must be filled out in its ENTIRETY.
All statements made by applicants for employment on this application form will be checked for accuracy.
Name (Print in Ink)
Today’s Date
Current Address
Previous Address
E-mail address
Social Security Number
Work Phone No
Alternate Phone No
Position(s) applying for (Must check specific position listed to be considered)
Home Phone No
Cellular Phone No
□
□
□
□
□
Server
Host
Bartender
Busser
Baker
□
□
Did someone refer you to apply for this position?
Yes
No
□
□
□
□
Line Cook
Production
Utility
Alley Coordinator
If yes, who?
□
□
□
□
Are you over the age of 18?
Yes
No
Do you have the legal right to work in the United States?
Yes
No
If you are applying for a server or bartender position, do you meet the legal state age
It is the policy of this employer to hire only United States Citizens or individuals
□
□
authorized to work in the United States. All employees must verify employment eligibility
requirement to serve alcohol?
Yes
No
prior to beginning work.
Date you are available to start
How many hours per week do you expect to work?
Expected Hourly Rate
Expected Weekly Earnings
employment
Relatives Employed by Darden: Name:
Location:
Relationship:
(Relatives employed by Darden will not necessarily exclude you from employment but will be considered for job placement to avoid a direct supervisory relationship between relatives)
Work Schedule Availability
What shifts/hours are you available to work? Shifts start as early as 7AM and end as late as 2AM (please list start & end times in each Lunch & Dinner shift box)
Shift
MON
TUES
WED
THUR
FRI
SAT
SUN
Lunch
to
to
to
to
to
to
to
Dinner
to
to
to
to
to
to
to
Are you willing to work a split shift?
□ Yes □ No
Are you willing to stay late in an emergency?
□ Yes □ No
□ Yes □ No
□ Yes □ No
Are you willing to work holidays / weekends?
Is your schedule flexible so you can attend training?
Education
Name and location of school
Last year completed
Courses majored in
Graduate? List Degrees.
Diploma: □ Yes □ No
High School
9
10
11 12
College
1
2
3
4
Other
Have you been convicted of a felony, or been incarcerated in connection with a felony, in the past 10 years? (You do not have to disclose any convictions
□
□
Yes
No
that have been annulled, expunged, erased, pardoned, or sealed by a court. Applicants in Massachusetts - Do not answer this question and see additional
disclosures on back. Applicants in Connecticut and California, please see disclosures on back of application.) A conviction will not necessarily exclude you
from employment.
If you answered “Yes,” please explain
Work History – List your last 3 jobs. Please fill out all information completely
Current or Most Recent Job
Previous Job
Previous Job
Company Name
Company Address
Company Phone Number
Name and Title of Immediate
Supervisor
Job Title / Position
_______________/___ _____________
_______________/___ _____________
_______________/___ _____________
Dates of Employment
Month/Year
to
Month/Year
Month/Year
to
Month/Year
Month/Year
to
Month/Year
Reason for Leaving
□
□
□
□
□
□
May we contact this employer
Yes
No
Yes
No
Yes
No
$_____________
$____________
$_____________
$____________
$_____________
$____________
Rate of Pay
Starting Wage
Ending Wage
Starting Wage
Ending Wage
Starting Wage
Ending Wage
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Parent category: Business