EMPLOYMENT APPLICATION
PERSONAL
Last Name Street Address Home Phone First Name City Business Phone No Cell Phone Yes State Middle Initial Zip Social Security Number If so, when:

Have you ever applied with us before (Circle one)

In pounds, what is the biggest fish you have ever caught

Are you legally eligible for employment in the United States (Circle one) What position are you applying for Who referred you to Twin Peaks

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Yes

No

When can you start work

Name and Location

No. of Years

Graduate

Degree

SCHOOL EMPLOYMENT

College High School Elementary

(Start with most recent) Company Name Address Name of Supervisor Job title and describe your work

Telephone From: Weekly Pay Reason for leaving To:

Company Name Address Name of Supervisor Job title and describe your work

Telephone From: Weekly Pay Reason for leaving To:

Company Name Address Name of Supervisor Job title and describe your work

Telephone From: Weekly Pay Reason for leaving To:

Availability: Lunch / Dinner ??“ PUT AN X WHEN YOU CAN??™T WORK! Monday Tuesday Wednesday Thursday Friday

Saturday

Sunday

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employee in the future. I also understand that, if hired, I will be a probationary employee during the first 90 days of employment. Date: POSITION: STARTING PAY: Signature: INTERVIEW DATE: MGR. SIGNATURE: ORIENTATION DATE:

x

Hi!
I'm Dora!

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