Employment Application

EMPLOYMENT APPLICATION

All information obtained within this application will be held in strict confidence, subject to applicable law.
Please complete all applicable sections and sign the last page.

Johnnie's Charcoal Broiler, Inc. prides itself on being an Equal Opportunity Employer. We will not discriminate in employment because of sex, race, physical disability, religion, ethnicity, mental disability, marital status, ancestry, or place of origin.

* = Required

Section One

Full Name *

Telephone: *

Social Security: *

Address: *

City: *

State: *

Zip: *

Are you legally entitled to work in the USA? *
Yes No

Date Available for Work: *

Position applying for: *

Wage / Salary: *

Select Johnnies Location You Are Applying To: *

Have you ever worked at Johnnies before? *
Yes No

If yes, when?:

Section Two

Highest Level of Education: *

Name of educational institute: *

Are there any skills, experience, of other qualifications, which you feel would assist you in performing the duties of the postion you have applied for?:

Section Three

If you are applying for a position that requires driving, please complete this section.

Do you have a valid driver licence?
Yes No

Licence #:

State: *

NOTE: If you are selected for an interview, you are required to present a copy of your driving record that is not more than 4 weeks old.
After being hired, a copy this driving record will be placed into your personnel file and an annual update will be required.

Employment History

Employer's Name:

Employed Date Range: *

Reason for leaving: *

Supervisors Name: *

Phone: *

Postion Held: *

Duties: *

May we contact this employer? (If not, state reason) *
Yes No

Reason:

Add at least your last 3 Employment Positions by clicking the button below to add the record.

False information given or implied on an application form is grounds for immediate dismissal, without further notice.

I herby state that all information provided is accurate and may be verified by Johnnie's Charcoal Broiler, Inc.
I agree that I may be discharged if Johnnie's at any time learns of falsification or material omission in the information provided on this application form and related documents.
Johnnies may contact my former employer in connection with the consideration of my employment with the. All references are herby authorized to release all information, which they may relevant to my employment with them.
I herby release Johnnie's, its affiliates, successors and assigns and all references from any liability that might be claimed because of information provided by such references.

I agree that I will follow all Company policies, rules, procedures and all other directions pertaining to my employment. I understand that Johnnie's reserves the right to add, change and/or delete any policies, procedures, work rules and/or benefits at any time.