Jobs - Poncho & Lefty's

Name

First

Last

Email

Full Address

Phone #

Referred By

Position Applied For

Date You Can Start

Wage Desired

Are You Currently Employed

Yes
No

Wage Week

Availability

Day 8am-4pm
Nights 4pm-Close
Weekends

Desired Hours Per Week

Is there any time during the year you would not be available?

Yes
No

If yes, please explain

Education

High School
Some College
College Degree

U.S. Military Service

Yes
No

Branch

Rank

Employer #1

Please list business name, city, and state. As well as work dates, position, and reason for leaving.

Employer #2

Please list business name, city, and state. As well as work dates, position, and reason for leaving.

Employer #3

Please list business name, city, and state. As well as work dates, position, and reason for leaving.

Signature

I certify the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company for all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or make any arrangement contrary to the foregoing unless it is in writing and signed by an authorized company representative. Poncho & Lefty's is an equal opportunity employer.

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