Tonys of Lexington – Pre Employment Application

Name:

Title

First

Last

Middle

Other Name Worked Under:

E-mail:*

Are you over 18 years of age?: *

Yes

No

If under 18, provide date of birth:

/

day

month

year

Phone Number:

Area Code

-

Phone Number

Address:

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip Code

Drivers License #

Position Applied For:

Available Start Day:

/

day

month

year

Available to work:*

Full Time

Part Time

Desired Hours:

Are you currently employed?

Yes

No

May we contact your present Employer?:

Yes

No

If "Yes" please list the employer's name and phone number. If "No" please explain why

Have you ever worked for this company? If so, please list when and reason for leaving our employ:

List the names of any relatives or friends working for us and their relationships:

Are you a citizen of the United States?

Yes

No

If no, are you authorized to work in the US:

Yes

No

Alien Registration:

Have you ever been convicted of a crime other than traffic offenses:

Yes

No

If yes, please explain:

List any experiences, skills, or qualifications which you feel would especially fit your work with this company:

Education

High School:

H/S Address:

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Did you graduate?

Yes

No

College:

College Address:

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Dates Attended:

Did you graduate:

Yes

No

Other Education:

References

Please list three professional references.

Full Name:

Relationship:

Company:

Phone:

Area Code

-

Phone Number

Address

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Full Name:(2)

Relationship:(2)

Company:(2)

Phone:(2)

Area Code

-

Phone Number

Address(2)

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Full Name:(3)

Relationship:(3)

Company:(3)

Phone:(3)

Area Code

-

Phone Number

Address(3)

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Previous Employment

Company

Phone

Area Code

-

Phone Number

Address.

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip Code

Supervisor:

Job Title

Starting Pay

Ending Pay

Dates (From / To)

Reason for Leaving

Company(1)

Phone(1)

Area Code

-

Phone Number

Address.(1)

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip Code

Supervisor:(1)

Job Title(1)

Starting Pay(1)

Ending Pay(1)

Dates (From / To)(1)

Reason for Leaving(1)

Company(2)

Phone(2)

Area Code

-

Phone Number

Address.(2)

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip Code

Supervisor:(2)

Job Title(2)

Starting Pay(2)

Ending Pay(2)

Dates (From / To)(2)

Reason for Leaving(2)

Military Service

Branch:

Dates (From / To):

Rank at Discharge:

Type of Discharge:

If other than honorable, please explain:

Describe any job related training:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Electronic Signature:

Date:

/

day

month

year