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Employment
Employment Application
Your Name
(required)
Address
(required)
City, State, Zip
(required)
Telephone
(required)
E-mail
(valid email required)
I'm applying for
Availability
Type of work
Full Time
Part Time
Mon
AM
PM
Any
Tue
AM
PM
Any
Wed
AM
PM
Any
Thu
AM
PM
Any
Fri
AM
PM
Any
Sat
AM
PM
Any
Sun
AM
PM
Any
Any
Legal
After an offer of employment can you submit verification of your legal right to work in the U.S.
Yes
No
Have you ever worked under another name
No
Yes
Indicate name
Have you ever been employed by Handsome Harry's?
No
Yes
If so, what position
Dates
Have you ever been convicted of a crime (other than minor traffic violations) or are you awaiting trial for a crime?
No
Yes
Explain
Can you perform the essential functions of the position(s) you have applied for, with or without reasonable accommodation (a job description is available for viewing upon request)
Yes
No
References
Give names and addresses of two persons (not relatives) who have knowledge of your character, experience and ability.
Reference #1
Name
Address
Phone
Years Known
Occupation
Reference #2
Name
Address
Phone
Years Known
Occupation
Education
Names and addresses of schools attended
High School
Name
City/State
Highest Grade
Graduate
Yes
No
College
Name
City/State
Highest Grade
Graduate
Yes
No
Grad. School
Name
City/State
Highest Grade
Graduate
Yes
No
Technical Training
Name
City/State
Highest Grade
Graduate
Yes
No
Employment Record
May we contact your present or most recent employer
Yes
No
Please list most recent employer first
Employer 1
Company Name
City/State
Phone
Job Title
From (MO/YR)
To (MO/YR)
Supervisor
Duties
Starting Salary
Ending Salary
Reason for Leaving
Employer 2
Company Name
City/State
Phone
Job Title
From (MO/YR)
To (MO/YR)
Supervisor
Duties
Starting Salary
Ending Salary
Reason for Leaving
Employer 3
Company Name
City/State
Phone
Job Title
From (MO/YR)
To (MO/YR)
Supervisor
Duties
Starting Salary
Ending Salary
Reason for Leaving
Handsome Harry's provides equal employment opportunities for all qualified persons without regard to race, religion, sex, age, national origin, color, sexual orientation or any other prohibited factor, or disability.
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