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ONLINE APPLICATION
INTERESTED IN BECOMING A PART OF OUR TEAM?
Fill out and submit the online application below.
Position(s) Applied For
Server
Prep Cook
Line Cook
Bar
Busser
Hostess
Dish Washer
How did you learn about us ?
Newspaper Ad
Social Media
Friend / Family Member
Our Employee
Other
If you heard about us from a current employee, please list their name here:
This application is active for six months from the date of application. If you are still seeking employment after that time, you must reapply. Failure to fully complete this application will result in non- consideration.
Name
Last Name
Address
Address 2
City
State
Zip
Phone Number
Email
Have you ever filled an application with us before. If yes, give date
Yes
No
Have you ever been employed with us before? If yes, give date
Yes
No
Are you currently employed ?
Yes
No
May we contact your employer ?
Yes
No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigrate Status ? Proof of citizenship on immigration status will be required upon employemnt
Yes
No
Date available for work
What is your desired rate of pay ?
Are you available for work
Full Time
Part Time
Weekdays
Weekends
AM Only
PM Only
Please indicate date available:
Can you work any shift ?
Yes
No
If not, what shift(s) can you work?
Are you currently on "lay-off" status and subject to recall?
Yes
No
Are you registered with Northwest Ohio Job Service?
Yes
No
Do you have any commitments or agreements with another employer that might affect your employment with our company?
Yes
No
Please list for any period of time you were not employed in the past five(5) years.
Time Period
From
To
Reason for Unemployment
High School
Name
Location
Number of Years Attended
Did You Graduate
Yes
No
Course of Study
College
Name
Location
Number of Years Attended
Did You Graduate
Yes
No
Course of Study
Trade, Business or Correspondence School
Name
Location
Number of Years Attended
Did You Graduate
Yes
No
Course of Study
Others(Specify including GED)
Name
Location
Number of Years Attended
Did You Graduate
Yes
No
Course of Study
List the names of at least three (non-related) business references and their phone number:
JOB HISTORY (1st most Recent)
List present & Former Employers - List most recent first
Company Name & Address
Job Title(s) & Duties
Reason for Leaving
Dates of Employment - Be Specific
Supervisor Name & Phone Numer
Hour Wage
JOB HISTORY (2nd)
Company Name & Address (2)
Job Title(s) & Duties
Reason for Leaving
Dates of Employment - Be Specific
Supervisor Name & Phone Numer
Hour Wage
JOB HISTORY (3rd)
Company Name & Address (3)
Job Title(s) & Duties
Reason for Leaving
Dates of Employment - Be Specific
mm/dd/yyyy - mm/dd/yyyy
Supervisor Name & Phone Numer
Hour Wage
Job Applicant Background Information
Your background and work history will be discussed with you during any scheduled interview. Please answer all of the follow questions (except #8) with a yes or no
Have you been
1.Placed on probation or terminated for poor job performance?
Yes
No
2.Disciplined or fired for insubordination?
Yes
No
3.Disciplined or discharged for violating a safety rule?
Yes
No
4.Disciplined or terminated for absenteesim, tardiness, failure to notify your company when absent or any other attendance related reason ?
Yes
No
5.Disciplined of fired for fighting, assault, or similar offenses ?
Yes
No
6.Disciplined or discharged for being under the influence of alcohol or drugs, or, for possession use or abuse of alcohol or drugs?
Yes
No
7.Convicted of a crime within the last 7 years?
(Conviction will not necessarily disqualify you from employment)
Check Box
Yes
No
8.How many days of work did you miss in the last year on your previous job ?
(Do not include vacation time)
Check Box
Yes
No
I certify that the above answers are true to the best of my knowledge. I understand that any falsification discovered before or after I am employed may be cause for my being disqualified or removed from employment with SULLIVANS
Date
Application Signature
Submit