Redamak's -- The "Hamburger" that made New Buffalo, MI Famous!

Position Applying For:
Full Name:
E-mail Address:

Address:

City:
Zip Code:

Home Phone: (999-999-9999)
Social Security #:

If you are less than 18 years of age, can you provide required proof of your eligiblity to work? Yes No
Have you ever filed an application with us before? Yes No
If yes, please provide date
Do any of your friends or relatives other than your spouse work here? Yes No
If yes, please state relationship
Are you currently employed? Yes No
May we contact your present employer? Yes No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? Yes No
Date available for work?
What is your desired salary?
Are you available to work:Full TimePart Time
Are you currently on "lay-off" status and subject to recall? Yes No

Education

High School Name:
High School Address:
City:
Zip Code:
Years attended from: to
Did you graduate? Yes No
College Name:
City:
Zip Code:
Years attended from: to
Did you graduate? Yes No
Majors/Degrees:
Other:
Address:
City:
Zip Code:
Years attended from: to
Did you graduate? Yes No
Majors/Degrees:

Work History

Please begin with your present or most recent job.

Employer:
Address:
City:
Zip Code:
Telephone Number:
Job Title:
Supervisor Name:
Employed from: / to /
Average weekly earnings:
Reason for Leaving:
May we contact this employer? Yes No
Employer:
Address:
City:
Zip Code:
Telephone Number:
Job Title:
Supervisor Name:
Employed from: / to /
Average weekly earnings:
Reason for Leaving:
May we contact this employer? Yes No
Employer:
Address:
City:
Zip Code:
Telephone Number:
Job Title:
Supervisor Name:
Employed from: / to /
Average weekly earnings:
Reason for Leaving:
May we contact this employer? Yes No

Personal and Professional References

(Please exclude family members or past supervisors)

Name:
Telephone Number: (999-999-9999)
Best time to call:
Occupation:
Relationship to Applicant:

Name:
Telephone Number: (999-999-9999)
Best time to call:
Occupation:
Relationship to Applicant:

Name:
Telephone Number: (999-999-9999)
Best time to call:
Occupation:
Relationship to Applicant:

Please Read and Submit

I certify that the answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

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Applicant's Electronic Signature

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