Name (Required):
Street Address
Apt.
City, State, Zip
Phone Number:
Email (Optional):
What establishment are you applying for? Check all that apply.
BSBC-Restaurant Joey's Kiosk@Main Plaza Kiosk@North Star Mall Provisions BikeShop
What position are you applying for? Check all that apply.
Server Host Bartender Clerk Cook Bike Dish Washer
Are you eligible to work in the United States? Yes No
Are you 18 years of age or older? Yes No
If NO, what is your current age?
Are you currently employed? Yes No
If YES, what is your current place of employment?
Have you ever been employed by Joey's Inc.? Yes No
If YES, reason for leaving?
Are you related to any current Joey's Inc. employee? Yes No
If YES, their name and relationship:
Have you ever been convicted of a crime (other than a misdemeanor traffic violation)? Yes No
If YES, Please explain:
How did you learn about this employment opportunity at Joey's Inc? Check all that apply:
Ad In Newspaper Ad In Magazine Job Bulletin / Walk-In / Website Referral By Employee
Education
High School
Name of School:
Did you graduate?Yes No If NO, # of years left:
City/State:
GED
Name of School:
Did you graduate?Yes No If NO, # of years left:
City/State:
Other School
Name of School:
Did you graduate?Yes No If NO, # of years left:
City/State:
College
Name of School:
Did you graduate?Yes No If NO, # of years left:
City/State:
Major:
College
Name of School:
Did you graduate?Yes No If NO, # of years left:
City/State:
Major:
Schedule Availability
Full Time Part Time
Can you work mornings? Yes No
Can you work evenings? Yes No
Can you weekends? Yes No
Work Experience
Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Please do not complete this information with the notation "See Resume." Please Note: Joey's Inc. reserves the right to contact all current and former employers for reference information.
1. Organization Name:
Phone:
Address:
City/State:
Title:
Full Time Part Time
Dates Employed - From: To:
Starting Salary: Ending Salary:
Supervisor's Name:
May we contact this organization? Yes No
Reason for leaving:
2. Organization Name:
Phone:
Address:
City/State:
Title:
Full Time Part Time
Dates Employed - From: To:
Starting Salary: Ending Salary:
Supervisor's Name:
May we contact this organization? Yes No
Reason for leaving: