Rocky's Employment Application

Notice to Applicant:
We are an equal opportunity employer and our policy is to comply with all employment laws, federal, state or local in origin. Our employees, as well as job applicants, are entitled to reasonable accommodation, if necessary, to perform a particular job function as well as the completion or any other employment form.

NOTE – APPLICATION MUST BE FILLED OUT COMPLETELY

Applicant

 
  
Date of this Application Social Security # E-Mail Address

1. Elegibility
 
Are you elegible to work in the U.S.?
If hired you must complete Section 1 of the Immigration Form in this Application.

2. 18 or older
 
Are you 18 or older?

3. Name
 
  
Last Name First Name Middle Initial

4. Address
 
  
 
Address City State Zip Code

5. Address continued
 
  
How long have you lived there? Phone Number

6. Current Employee
 
Do you know anyone presently employed here? If yes, who?

7. Desired Position
 
Position Desired

8. Preferred Working Hours

Please Check which of the following you prefer to work

9. Availability
 
Date when you will be available for work, if hired

10. Capabilities
 
    
The job you are applying for will essentially, from time to time, require:
(A) reading and writing legibly in English,
(B) lifting and carrying loads of upwards of 25lbs.,
(C) bending and stooping to retrieve similar or smaller items.
Are you able to perform all of these job functions?		     If NO, state which functions
    you cannot perform

11. Weekends & Holidays
 
The job for which you are applying for may require work on Saturdays, Sundays and Holidays.
While reasonable accommodations can be made for you, are you willing to work such a schedule?

12. Transportation
 
  
How long will it take you to
get from home to work?		 What type of transportation
will you use?

13. Employment Experience (Most current first)

Name of Company Date employment started Date employment ended Name of supervisor
Phone number Job title Reason for leaving

Name of Company Date employment started Date employment ended Name of supervisor
Phone number Job title Reason for leaving

Name of Company Date employment started Date employment ended Name of supervisor
Phone number Job title Reason for leaving

14. Education: What is the name of the last school you attended and the last year completed?
 
  
School Last year completed
College Last year completed

15. Education: Current School
 
    
Are you attending school now?     School Subject

16. Food Service Training
 
Are you attending or have you attended any food service training programs
such as service training, bartending or cook apprenticeship classes?		 If yes, please describe

17. Business Machines

What business machines can you operate?

18. References: Please list two Personal References (Do not include Relatives)
 
  
  
  
Name Company Position Phone #
 
  
  
  
Name Company Position Phone #

19. Past History
 
Have you ever been convicted of, or pled guilty to
any involved theft, sexual abuse, and destruction
of property of physical violence?		 If yes, please explain in detail

20. Drug Free Policy
 
Rocky’s is a drug free work place. Do you understand that we are committed to provide for its employees and guest a drug free work place at all time?

21. Character Inquiries
 
Before a final employment decision is made routine inquiries about the information discussed in this application and to discuss such information with others: which may elicit knowledge of your character and/or reputation?

22. Information
 
Do you understand, that upon your written request to us, you may obtain certain information as to the nature and scope of any reports received?