Employment

Pieloon Restaurant is an equal opportunity/affirmative action employer. All qualified applicants will be considered without regard to age, race, color, sex, religion, nation origin, marital status, ancestry, citizenship, veteran status, sexual orientation or preference, or physical or mental disability.

	PERSONAL:
	Name:
	Email:
	Street Address:
	City:
	State:
	Zip:
	Phone:
	Are you eligible to work in the United States?
	Yes No
	If you are under age 18, do you have an employment/age certificates?
	Yes No
	Have you been convicted of or pleaded no contest to a felony within the last five years?
	YesNo

If yes, please explain:


	AVAILABILITY:

Days/Hours Available:

Monday	Hours Available: from	to
Tuesday	Hours Available: from	to
Wednesday	Hours Available: from	to
Thursday	Hours Available: from	to
Friday	Hours Available: from	to
Saturday	Hours Available: from	to
Sunday	Hours Available: from	to

	What date are you available to start work?

EDUCATION:

Name and Address Of School	Degree/Diploma	Graduation Date

	Skills and Qualifications: Licenses, Skills, Training, Awards

	EMPLOYMENT HISTORY:
	Present Or Last Position:

	Employer:
	Address:
	Supervisor:
	Phone:
	Email:
	Position Title:

From:

to:

	Responsibilities:
	Salary:
	Reason for Leaving:


	Previous Position:

	Employer:
	Address:
	Supervisor:
	Phone:
	Email:
	Position Title:

From:

to:

	Responsibilities:
	Salary:
	Reason for Leaving:

	May We Contact Your Present Employer?
	Yes No


	References:
	Name/Title Address Phone

I certify that information contained in this application is true and complete.

Last Updated: November 30, 2011