PARKERS BARBECUE
Employment Application
APPLICANT INFORMATION
Last Name
First
M.I.
Street Address
Apartment/Unit #
City
State
Phone
E-mail Address
Date Available to start
Desired
Salary
Days Available to work
(Circle)
Sunday
Monday
Birthdate
ZIP
Tuesday
Wednesday
Thursday
YES
NO
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
YES
NO
If so, when?
Have you ever been convicted of a
felony?
YES
NO
If yes, explain
Have you ever been convicted of a
misdemeanor other than traffic
violations?
YES
NO
If yes, explain
Were you ever discharged by any
company?
YES
NO
If yes, give name of
company(ies) and
reason for discharge
EDUCATION
High School
Address
To
College
From
Did you graduate?
YES
NO
Degree
YES
NO
Degree
YES
NO
Degree
Address
To
Other
From
Did you graduate?
Address
To
Did you graduate?
REFERENCES
Please list three professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Friday
Saturday
Position Desired
Are you a citizen of the United States?
From
Date
YES
NO
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Ending Salary
$
Ending Salary
$
Ending Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
MILITARY SERVICE
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
I understand that, with my authorization, an investigation may be made whereby information is obtained regarding my character, previous
employment, general reputation, educational background, credit record and/or criminal history, subject to applicable federal, state and/or
local laws.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release. I understand, also, that I am required to abide by all rules and regulations of Parker’s Barbecue, Inc.
I understand and agree that, if employed, the employment will be “at will.” That is, either I or Parker’s may end the employment
relationship at any time, for any reason, or for no reason. I understand that receipt of this application does not imply employment and that
this application and/or any other Parker’s documents are not contracts of employment.
Signature
Date