Employment Application (English) - Azteca Mexican Restaurants

We do not discriminate on the basis of race, color, religion, national origin, sex, age, veteran status, sexual preference, marital status, non-job related disability or any other protected group status. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.

Name*

First Last

Phone*

Email*

Applicant Mailing Address*

Street Address Address Line 2 City State ZIP Code

What location(s) would you like us to direct your application to?*

What position are you applying for?*

If hired, can you furnish proof that you are eligible to work in the United States?*

Yes
No

What languages do you speak fluently?

What language is your preferred language for written and oral training?

Are you seeking?:

Full-time employment
Part-time

What date would you be available to start work?

What specific qualifications, if any, do you have for this position?

Work History

List names of employers in consecutive order with present or last employer listed first.

Name of Employer

Supervisor

Employer Address

Street Address Address Line 2 City State ZIP Code

Phone

Title

Date employed (from)

Date employed (to)

Reason for leaving

Duties

Name of Employer

Supervisor

Employer Address

Street Address Address Line 2 City State ZIP Code

Phone

Title

Date employed (from)

Date employed (to)

Reason for leaving

Duties

Special Skills

What skills or additional training do you have that are related to the job for which you are applying?

References

Are you presently employed?

Yes
No

Have you ever been fired from a job or asked to resign?

Yes
No

Please explain

Give two references who are not relatives or former employers.

Reference Name

First Last

Reference Phone

Reference Name

First Last

Reference Phone

PLEASE READ EACH STATEMENT CAREFULLY BEFORE E-SIGNING

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that any falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date. I authorize a thorough investigation of my past employment and activities, agree to cooperate in such investigation, and release from all liability or responsibility all persons and corporations requesting or supplying information. I further authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the job for which I am being considered or any future job in the event I am hired. I hereby agree to submit to any lawful drug, polygraph, integrity, or skill testing that may be required as a condition of employment or continued employment and understand that unless other wise prohibited by law, refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including discharge. I further agree to submit to search of my person or work area that may be assigned to me and I hereby waive all claims for damages on account of such examination.

I understand that my employment is terminable-at-will, and that this application is not, and is not intended to be, a contract for continued employment.

Consent*

I have read, understand, and by my e-signature consent to these statements.

e-signature*

EMPLOYMENT APPLICATION

Work History

Special Skills

References

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