Abbays - How the South Does Fast Food

APPLICANT DATA

Last Name First Name Middle Initial
Address City State ZIP
Home Phone Cell Phone Email
Employment desired: Full-time Part-time Temporary Seasonal
Position applying for
Wage/Salary Required
Location Applying For
If under 18, can you furnish a work permit? Yes No N/A
Are you a U.S. citizen? Yes No
If no, do you have work papers? Yes No
Have you every pled "guilty" or "no contest" to or been convicted of a crime? Yes No
If yes, give dates and details

Answering yes to these questions does not constitute an automatic rejection to employment. Date of the offense , seriousness and nature of the violation, rehabilitation and position applied for will be considered.

EDUCATION

Choose Highest Grade Completed:

High School: 9 10 11 12 GED
College: 1 2 3 4
Name of High School City State
Dates Attended : From To
Name of College City State
Dates Attended : From To

WORK EXPERIENCE (begin with most recent employer)

Please account for all time for the last five (5) years. Include periods of unemployment. Use a separate sheet of paper if needed. DO NOT REFER TO RESUME

Have you worked for abbays™ before? Yes No
If yes, please list date
From To Location

Current or Most Recent Employer

Dates of Employment
From To
Position(s) Held
Employer Name Address Phone
Supervisor's Name
Starting Pay Ending Pay
Your Primary Responsibilities

Reason(s) for Leaving

May we contact this employer? Yes No

Previous Employer

Dates of Employment From To
Position(s) Held
Employer Name Address Phone
Supervisor's Name
Starting Pay Ending Pay
Your Primary Responsibilities

Reason(s) for Leaving

May we contact this employer? Yes No

REFERENCES

Please furnish the names, address and telephone numbers of two people to whom you are not related and by whom you have not been employed

Name Phone Relationship
Address City State ZIP

Name Phone Relationship
Address City State ZIP

GENERAL INFORMATION

1. Shifts that you are NOT available to work Please check all that apply

Days Nights Weekends Holidays Other
If Other, please explain
2. Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodations, in a safe or efficient manner Yes No
3. Do you have any relatives or personal friends currently working for any abbays™ location?
If yes, please include the following

Location Name Relationship
4. Experience with a cash register Fully experienced Some experience No experience
Explain
5. Experience with commercial kitchen equipment Fully experienced Some experience No experience
Explain
6. Experience with cleaning dishes, restrooms, tables, etc. Fully experienced Some experience No experience
Explain
7. Experience with food safety Fully experienced Some experience No experience
Explain
8. Experience with Customer Service Relations Fully experienced Some experience No experience
Explain
Please summarize any special skills or qualifications not listed in this application

By submitting this application you agree to the following statements :

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquires of my personal, employment, educational, financial and or medical history and other related matters as may be necessary for an employment decision.

I hereby release employers, schools or persons from all liability in responding to inquires in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge

I understand that any false statements on this application could result in disqualification from the application process or if employed, immediate dismissal. I understand that this application is not a contract of employment; I agree that if employed, my employment is for no definite period of time and may be terminated at any time with or without notice, with or without cause. I understand that no one is authorized to make any agreement contrary to the foregoing without Senior management approval. I understand that I will be subject to the Company's requirements regarding medical examination.

I understand that if the Company hires me, my employment is conditional on my ability to provide proof of work authorization and identity as required by Federal Law and the completion of any post-employment requirements of the employer. My submission indicates agreement with these statements

abbays™ is an equal opportunity employer that subscribes to a DRUG FREE work place. Pre-employment drug screening may be required to complete the application process.

Thank you for submitting our employment application.