Omaha Old Market Restaurant
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Omaha Restaurants Employment
M's Pub is an Equal Opportunity Employer
Step
1
of
4
25%
Personal Information
Name
*
First
Middle
Last
Suffix
Nickname
Have you been convicted of a felony in the last 7 years?
Yes
No
Are you legally eligible for employment in the U.S.?
(proof of citizenship or immigration status will be required if hired)
Yes
No
Are you 21 years or older?
Yes
No
Present Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Permanent Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone Number
*
Email Address
*
Time
Daytime
Evening
Referred by
Employment
Availability of hours may vary
Position
Salary Desired
Date You Can Start
MM slash DD slash YYYY
Specify hours available for each day of the week
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Are you able to work overtime?
Have you ever worked for this restaurant before?
Yes
No
If yes, when?
Education
High School
Name and Address of School
Last Years Completed
1
2
3
4
Did you Graduate?
Yes
No
Subjects Studied and Degrees Received
College
Name and Address of School
Last Years Completed
1
2
3
4
Did you Graduate?
Yes
No
Subjects Studied and Degrees Received
Post College
Name and Address of School
Last Years Completed
1
2
3
4
Did you Graduate?
Yes
No
Subjects Studied and Degrees Received
Trade School
Name and Address of School
Last Years Completed
1
2
3
4
Did you Graduate?
Yes
No
Subjects Studied and Degrees Received
List any relevant skills
What do you like about the food service industry?
Why do you want to work for this restaurant?
Describe a specific situation where you have provided excellent customer service in your most recent position. Why was this effective?
Former Employers
List below current and past three employers, starting with most recent one first. Please include any non-paid/volunteer experience that is relevant to the job to which you are applying. Please complete even if you attach a resume.
Former Employer Name
*
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Salary/Hourly
Starting / Ending / # Hours Per Week
Position
Reason For Leaving
Duties Performed
Supervisor’s Name
Phone Number
May We Contact?
Yes
No
Former Employer Name
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Salary/Hourly
Starting / Ending / # Hours Per Week
Position
Reason For Leaving
Duties Performed
Supervisor’s Name
Phone Number
May We Contact?
Yes
No
Former Employer Name
*
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Salary/Hourly
Starting / Ending / # Hours Per Week
Position
Reason For Leaving
Duties Performed
Supervisor’s Name
Phone Number
May We Contact?
Yes
No
Former Employer Name
*
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Salary/Hourly
Starting / Ending / # Hours Per Week
Position
Reason For Leaving
Duties Performed
Supervisor’s Name
Phone Number
May We Contact?
Yes
No
References
Give below the names of three references.
Name
Address & Phone Number
Business / Relation
I hereby authorize this Restaurant to thoroughly investigate my background, references, employment record, and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by this Restaurant to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application or dismissal. I understand that nothing contained in this application or conveyed during any interview is intended to create an employment contract. I understand that filling out this form does not indicate there is a position open and does not obligate this Restaurant to hire me.
Date
*
MM slash DD slash YYYY
Signature
*
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Email
This field is for validation purposes and should be left unchanged.
