Employment


Personal Information
Name:
Phone:
Email:
Address:
City:
State:
Zip:
Date You Can Start (i.e. 1/1/2010):
$ Wages Desired Per Week:
Positions applying for:
 Manager Server Cook Hostess D/W Bartender
Please check the shifts you are available to work (hours may vary)
Availability: Mon: Tues: Wed: Thurs: Fri: Sat: Sun:
Open (a.m.)   Y   Y   Y   Y   Y   Y   Y
Lunch (a.m/p.m.)   Y   Y   Y   Y   Y   Y   Y
Dinner (p.m.)   Y   Y   Y   Y   Y   Y   Y
Close (p.m./a.m.)   Y   Y   Y   Y   Y   Y   Y
Have you ever applied or worked at Johnny's before?   
If yes,where?
Location:
Supervisor:
Are you 18 years or older:
Have you ever been convicted of a felony?
If Yes, please explain:
Please List Three Most Recent Jobs:
(start with most recent or current job)
Employer 1
Company:
Supervisor:
Dates: From: / /
  To:  / /
City/Location:
State:
Phone: ()

Last Rate of Pay:
Reason For Leaving:  Resigned w/ Notice Resigned w/o Notice Terminated
Eligible for Re-Hire?
Employer 2
Company:
Supervisor:
Dates: From: / /
To: / /
City/Location:
State:
Phone: ()

Last Rate of Pay:
Reason For Leaving:  Resigned w/ Notice Resigned w/o Notice Terminated
Eligible for Re-Hire?
Employer 3
Company:
Supervisor:
Dates: From: / /
To: / /
City/Location:
State:
Phone: ()

Last Rate of Pay:
Reason For Leaving:  Resigned w/ Notice Resigned w/o Notice Terminated
Eligible for Re-Hire?

(A conviction record does not necessarily disqualify you from employment. Factors such as the date of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.)

The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age.

"I certify that 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 references 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 all parties from all liability from any damage that may result from furnishing the same to you.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice."