Job Application

Please provide some basic information:
First Name
Last Name
MIddle Initial
Social Security Number
- -
Present Address
City
State
Zip
Day Phone   
Night Phone
E Mail Address
Are you at least 18 years of age? Yes No
If no, state your date of birth: (MM/DD/YYYY)
Have you ever been employed by Rosti, or any of our restaurants or offices? Yes No
If yes, at which location?
From: (MM/DD/YYYY)
To: (MM/DD/YYYY)

Why did you leave?

Can you furnish your proof of right to work in the U.S.?

 Yes No
Do you have reliable transportation to work? Yes No
About the Job You're Interested In. . .
Position Application For:
Location:
If other, explain:
Date available for employment: (MM/DD/YYYY)
Salary desired: hrly yearly
About Us. . .
Have you ever visited a Rosti? Yes No
If yes, describe your experience:
Why would you like to work for Rosti?
About You. . .
High School Name and Location:
Last Year completed:

Did you graduate?

 Yes No
College You Graduated From:
Name and location:
Years completed ?
Course/Major:
Degree:
Graduate School Name and Location:
Years completed:
Did you graduate? Yes No
Course/Major
Degree:
Technical School Name and Location:
Years completed:
Did you graduate? Yes No
Course/Major:
Degree:
Describe any specialized training, apprenticeship and skills which relate to your ability to perform the job for which you have applied:
Skills For Office/Administration Positions Only. . .
Typing words per minute:
10-key Yes No
Computer Proficiency:
If other explain:
Other Important Information. . .
How were you referred to us for employment?
If other, explain:
We are open 7 days a week. Do you have any commitments that could interfere with the regular performance of your duties on behalf of Rosti Tuscan Kitchen? Yes No
If yes, explain:

Have you been convicted of a felony in the past seven (7) years?

 

 Yes No
If yes, list convictions that are a matter of public record indicating date, charge, place and action taken (arrests are not convictions):
Jobs You've Had . . .
(Please give an accurate and complete employment history, starting with your most recent job.)
COMPANY 1 (most recent)
Name of company/ employer:
Address (include City, State and zip):
Phone:
Employed from: (MM/DD/YYYY)
Employed to: (MM/DD/YYYY)
Salary: hourly annual
Position held:
Duties performed:
Supervisors name:
Reason for leaving:
COMPANY 2
Name of company/ employer:
Address (include City, State and zip):
Phone:
Employed from: (MM/DD/YYYY)
Employed to: (MM/DD/YYYY)
Salary: hourly annual
Position held:
Duties performed:
Supervisors name:
Reason for leaving:
COMPANY 3
Name of company/ employer:
Address (include City, State and zip):
Phone:
Employed from: (MM/DD/YYYY)
Employed to: (MM/DD/YYYY)
Salary: hourly annual
Position held:
Duties performed:
Supervisors name:
Reason for leaving:
COMPANY 4
Name of company/ employer:
Address (include City, State and zip):
Phone:
Employed from: (MM/DD/YYYY)
Employed to: (MM/DD/YYYY)
Salary: hourly annual
Position held:
Duties performed:
Supervisors name:
Reason for leaving:
May we contact the employer(s) listed above? Yes No
If no, indicate by NUMBER which one(s) you do not wish us to contact :
Have you ever been discharged or asked to resign by an employer? Yes No
References We Can Contact . . .
REFERENCE 1
Type:
Name:
Relationship:
Phone Number:
Address:
REFERENCE 2
Type:
Name:
Relationship:
Phone Number:
Address:
REFERENCE 3
Type:
Name:
Relationship:
Phone Number:
Address:
REFERENCE 4
Type:
Name:
Relationship:
Phone Number:
Address:
REFERENCE 5
Type:
Name:
Relationship:
Phone Number:
Address:
Comments . . .
This space is provided for your use in giving us any information about yourself not already covered in the application. (e.g. career interests, plans, objectives, or any other information that you believe we should know in considering you for this position)
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