Keares Restaurant Group Online Employment Application
Please fill out the application completely.

Select a location:
D.O.B.:
Name: * Required Field
Email: * Required Field
Sex: Male      Female
Present address:
City:
State:
Zip Code:
Years at present address:
Home phone:
Work phone:
Marital Status:
Are you a licensed driver?
If no, explain transportation:
Are you a U.S. Citizen?

Education:

High School:
Year Graduated:
College:
Year Graduated:
Other Education:
Year Graduated:

Position Desired:

Would you like:
Position:
Date can start
Salary desired:
Are you presently employed?
Present Responsibilities:
Present Employer:
Do you have any friends or relatives employed with us?
How did you hear about this job?

Do you have any allergic reactions, or medical conditions? Explain.

Have you ever received compensation for injuries? Explain.

Have you ever been convicted of a felony? Explain.
Choose the shifts you can work:
  Monday Tuesday Wednesday Thursday Friday Saturday Sunday
AM
PM

Former Employment:

Job 1

Employer Address and Phone

Ending Salary:
Dates:
Work Performed?
Reason for leaving?

Job 2

Employer Address and Phone

Ending Salary:
Dates:
Work Performed?
Reason for leaving?

Job 3

Employer Address and Phone

Ending Salary:
Dates:
Work Performed?
Reason for leaving?

References:

Name, address & phone # of three references who are not related to you & are not previous employers.
1
2
3

Applicant Statement:

By submitting this form, I certify that the answers given herein are true complete the best of my knowledge. I authorize investigation of all statements in this application that may be necessary in arriving at an employment decision. I understand that this application is not a contract of employment. You may be required to sign this statement during an interview.

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