Online Employment Application

PERSONAL INFORMATION

Name:
Phone:
Present Address:
Email Address:


DESIRED POSITION

Please Select One:
Manager Assistant Manager Counter / Sandwich Maker / Register Operator
Are You Currently Employed:
Yes No		 Date You Can Start:

DESIRED LOCATION

Please Select One:
Roswell Alpharetta



EDUCATIONAL BACKGROUND

School Name and Location Graduated?
High School Yes No
College Yes No
Other Yes No

SPECIAL INTERESTS

U.S. Military Service:
Special Skills / Training:
Hobbies / Interests:

EMPLOYMENT HISTORY

Date - Month / Year
Name & Address / Phone of Employer
Position Held
Reason For Leaving

From:

To:

From:

To:
From:

To:

REFERENCES

Name
Address and Phone Number
Years Known

AUTHORIZATION:

"I certify that the information I have provided in this application is true and complete to the best of my knowledge and I understand that one or more falsified statements within this application is grounds for dismissal.

I authorize investigation of all statements herein and, the references and employers listed within to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I release the company from all liability for any damage that may result from use of said information

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of the disability-related or medically-related information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

* Application will be signed during the interview process. Please be prepared to furnish your Social Security Number.

I understand the statements above and submit this information of my own free will:


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