Zack's Hot Dog - Employment Application

Full Name

Today's Date

Desired Location

Original Downtown - 201 W Davis St, Burlington, NC 27215

Address

Phone

Are you 16 years of age or older?

Yes No

If you are under 16, do you have a worker's permit?

Yes No

Date available to begin work?

Desired Pay

Are you a US citizen?

Yes No

If you are not a US citizen, are you authorized to work in the United States?

Yes No

Have you ever worked for this company?

Yes No

If you have worked for us before, when?

Have you ever been convicted of a felony?

Yes No

If you have been convicted of a felony, please explain:

High School Name & Address

What years did you attend high school?

Did you graduate?

Yes No Other

Diploma?

College Name & Address

What years did you attend college?

Did you graduate?

Yes No

Degree?

Please list three professional references including name, relationship, company, address, and phone number.

Reference 1

Reference 2

Reference 3

Employer Information

Please include company name, phone, address, supervisor name, job title, dates employed, and starting & ending salary.

What where your responsibilities?

Reason for leaving?

May we contact this employer for a reference?

Yes No

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.

I agree.

Please type your name in lieu of a signature. You will be asked to sign this application upon meeting with management.

Zack's Hot Dog - Employment Application

Employer Information

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