Please Note: Bangkok Chef/Siam Thai Food Only Hires Non-Smokers. Application for Employment Date Name Address Telephone Email: Home SSN Mobile How did you hear about us? Are you at least 18 years old? yes no Date you can start Have you applied here previously? yes no If hired, do you have legal proof to work or live in the USA? yes no Salary desired Position Applying For Full Time Are you able to perform the essential functions of the job for which you are applying? Part Time yes no If not, please explain (We comply w/the ADA and consider reasonable accommodation measures necessary for eligible applicants/employees to perform essential functions.) What Days and Hours are You Available? Sunday Monday Tuesday Wednesday Thursday Friday Have you ever been convicted of a criminal offense? (Felony or Serious Misdemeanor) No applicant will be denied employment solely on the grounds of conviction of a criminal offense. All circumstances will be considered. Are you employed now? yes no Do you speak any foreign language? If yes, may we contact your employer? yes no Saturday yes no yes no Which Language(s)? If your resume contains the following, please attach it and indicate “see resume” Education Name & Location of School Did You Graduate? High School yes no College yes no Other yes no References: Name Subjects Studied Please list three people not related to you, whom you have known at least three years. Years Known Address Phone Business CopyRight © 2016 S Thai Food Corporation and Bangkok Chef Corporation Employment History Month & Year Employer Name & Address Salary Position Reason for Leaving From To From To From To From To Initial Please read carefully; initial each item and sign below. I understand that Bangkok Chef/Siam Thai Food only hires Non Smokers. I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I have personally completed this application. Any omission or misstatement of material fact on this application or any document used to secure my employment shall be grounds for immediate dismissal; regardless of the time elapsed before discovery. I hereby authorize Bangkok Chef/Siam Thai Food to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and further authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records without giving me prior notice of such disclosure. In addition, I release Bangkok Chef/Siam Thai Food, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation and disclosure. I understand that nothing in the application, or conveyed during the interview that may be granted, or during my employment, if hired, is intended to create an employment contract between Bangkok Chef/Siam Thai Food and myself. If I am employed, with or without prior notice, at the option of either myself or the company, that no promises or representation contrary to the foregoing are binding on Bangkok Chef/Siam Thai Food unless made in writing and signed by Bangkok Chef/Siam Thai Food’s designated representative. Signed Date CopyRight © 2016 S Thai Food Corporation and Bangkok Chef Corporation
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