Personal Information
Name *
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Address *
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City, State & Zip *
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Home Phone
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Cell Phone
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Birthdate *
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Your Email
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Job Sought
Positions Applying For *
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Hours Available to Work
Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
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# of Hours Desired per Week
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When are you first available to begin work?
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Education
High School
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Location
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Attending?
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Years Completed
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Graduated?
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College
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Location
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Attending?
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Years Completed
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Graduated?
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Major or Degree
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Legal
Have you ever been convicted of a felony? *
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If yes, please explain.
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Are you a U.S. citizen? *
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If not a U.S. citizen, are you authorized to work in the U.S.?
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Previous Employment
Current or Most Recent Employer
Name of Employer
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Address
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Supervisor
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Phone #
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Dates of Employment
From
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To
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Job Title
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Reason for Leaving (be specific)
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Describe your responsibilities as well as any special skills used or learned, advancements, or promotions
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May we contact this employer?
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Second Most Recent Employer
Name of Employer
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Address
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Supervisor
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Phone #
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Dates of Employment
From
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To
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Job Title
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Reason for Leaving (be specific)
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Describe your responsibilities as well as any special skills used or learned, advancements, or promotions
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May we contact this employer?
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Other Relevant Employment
Name of Employer
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Address
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Supervisor
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Phone #
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Dates of Employment
From
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To
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Job Title
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Reason for Leaving (be specific)
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Describe your responsibilities as well as any special skills used or learned, advancements, or promotions
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May we contact this employer?
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References
List two other than relatives and employers listed above.
Name
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Relationship
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Company
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Position
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Phone #
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Name
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Relationship
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Company
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Position
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Phone #
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Why do you want to work in this industry and particularly at Plates & Uncorked?
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What is your favorite restaurant and what is your favorite dish there?
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Is there anything else you would like for us to know about you?
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What is your strongest asset for the job and why should we hire you over another strong candidate?
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By clicking the submit button below, I certify that the facts contained herein are true and complete to the best of my knowledge and understand that, if hired, falsified statements shall be grounds for dismissal. I authorize investigation of all statements contained herein, and the references and employers listed above to give any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release Plates, Inc., from all liability for any damage which may result from utilization of such information. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act and other relevant federal and state laws.