Alongi's Italian Restaurant   Employment Application
Pre-Employment Questionnaire - Equal Opportunity Employer

Click "Submit Application" below to send this electronic form.
 
Personal Information:
Name (Last, First)
Email Address
Social Security Number
Current Address
City
State
Zip Code
Phone Number
Referred by

Employment Desired:

Position Applied For
Date You Can Start   (Month/Day/Year)
Salary Desired
Are You Employed? Yes No    If Yes, May We Inquire of Your Current Employer? Yes No
Have You Ever Applied For Employment at Alongi's? Yes No    If Yes, When?  

Education History:

Name & Location of Schools
Years Attended
Did You Graduate?
Subjects Studied
High School
College

Former Employers: (List last four employers, starting with the last one first)

Month/Date/Year Name & Address of Employer Salary Position Reason for Leaving
From: 
To: 
From: 
To: 
From: 
To: 
From: 
To: 

References:

Name Address Business Yrs Known

Availability:

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10 a.m - 4 p.m. 10 a.m - 4 p.m. 10 a.m - 4 p.m. 10 a.m - 4 p.m. 10 a.m - 4 p.m. 10 a.m - 4 p.m. 10 a.m - 4 p.m.
4 p.m - 10 p.m. 4 p.m - 10 p.m. 4 p.m - 10 p.m. 4 p.m - 10 p.m. 4 p.m - 10 p.m. 4 p.m - 10 p.m. 4 p.m - 10 p.m.

Authorization:

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herin and the references and employers listed to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

Please read the authorization above before sending the application.

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