Name
*
First Name
Last Name
Primary Phone:
*
(###)
###
####
Primary Phone Type:
*
Cell
Home
Work
Phone 2:
(###)
###
####
Phone 2 Type:
Cell
Home
Work
Email
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are you legally able to be employed in this country?
*
What type of position are you applying for?
*
Date your available to start?
*
MM
DD
YYYY
What type of schedule are you applying for?
*
Total hours available per week?
*
Sunday
*
Monday
Tuesday
*
Wednesday
*
Thursday
*
Friday
*
Saturday
*
Are there any days or hours your not available?
*
If yes, why?
Institution 1 Name:
Study Type:
High School
GED
College
Graduate
University
Other Education or Training
Diploma or Equivalent?
Currently Enrolled?
Institution 1 Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Institution 2 Name:
Study Type:
High School
GED
College
Graduate
University
Other Education or Training
Diploma or Equivalent?
Currently Enrolled?
Institution 2 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Please include any extra education information in the space below. Use as much space as needed:
Company 1 Name:
*
Company 1 Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Company 1 Phone
*
(###)
###
####
Company 1 Supervisor Name:
*
Company 1 Job Title:
*
Company 1 Start Date:
MM
DD
YYYY
Company 1 End Date:
If your still employed put today's date.
MM
DD
YYYY
Company 1 Major Responsibilities:
Company 1 Reason Left:
Company 2 Name:
Company 2 Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Company 2 Phone:
(###)
###
####
Company 2 Supervisor Name:
Company 2 Job Title:
Company 2 Start Date:
MM
DD
YYYY
Company 2 End Date:
Put today's date if still employed.
MM
DD
YYYY
Company 2 Major Responsibilities:
Company 2 Reason Left:
Company 3 Name:
Company 3 Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Company 3 Phone:
(###)
###
####
Company 3 Supervisors Name:
Company 3 Job Title:
Company 3 Start Date:
MM
DD
YYYY
Company 3 End Date:
Put today's dat if still employed.
MM
DD
YYYY
Company 3 Major Responsibilities:
Company 3 Reason Left:
Reference 1 Name:
Reference 1 Phone:
(###)
###
####
Reference 1 Years Known:
Reference 1 Relation:
Reference 2 Name:
Reference 2 Phone:
(###)
###
####
Reference 2 Years Known:
Reference 2 Relation:
Reference 3 Name:
Reference 3 Phone:
(###)
###
####
Reference 3 Years Known:
Reference 3 Relation:
Please use this area to include any extra information you want us to know and include in your application for employment at Omi Omy.
Digital Signature:
*
I acknowledge and agree that by typing my name in the space below and submitting this Employment Application I am signing this Employment Application as if actually signed in writing. I certify that I have read and fully completed this Employment Application and that the information contained herein is true and correct to the best of my knowledge. I understand that any omission or false information may disqualify me from employment or, in the event of employment, be deemed grounds for dismissal. I consent to and authorize the hiring manager of Omi Omy Restaurant to which I submit this Employment Application to collect, use and disclose the personal information contained in this Employment Application to conduct inquiries in connection with my candidacy for employment with Omi Omy Restaurant, which may include, but is not limited to, searches for information about my education records, personal character references and employment history. I further authorize the hiring manager of Omi Omy Restaurant to contact the references set forth on this Employment Application and I authorize such references to give the hiring manager of Omi Omy Restaurant any and all information concerning my previous employment and other pertinent information such references may have, personal and otherwise. I understand that information concerning these matters may be sought from my previous employers, other sources named in this Employment Application and Facebook and other social networking sites.
I hereby release such entities, the Omi Omy Restaurant and its owner and hiring manager and any partners involved in hiring from any and all claims, demands or liabilities that may arise out of or that are related to such investigation or disclosure. I further acknowledge and agree that, in the event I am hired by Omi Omy Restaurant, the information provided on this Employment Application and other information collected by the hiring manager of Omi Omy Restaurant may be provided to and stored by a third-party for the purposes of completing the Onboarding. I specifically consent to the sharing of such information with such third-party for the purposes of completing the Onboarding process.
First Name
Last Name
