Dishwasher

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Summary

Title: Dishwasher

: 1027

Location: Cape Girardeau, MO

Department: Dining Services

Status: Part-Time

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Application for Employment

PERSONAL INFORMATION

* Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment) Yes No

* Do you have any relatives or friends employed at our facility? Yes No

If yes, list name(s):

* Have you ever been convicted or plead guilty to a Misdemeanor or Felony? Yes No

If yes, explain:

* Have you ever been terminated or forced to resign from a job for any reason? Yes No

If yes, list employer, date, and reason:

* Have you ever worked for The Chateau Girardeau before? Yes No

If Yes, please provide details (Dates/Department/Job Title)

EMPLOYMENT DESIRED

* When are you available to start work?

* Type of employment desired Full Time Part Time PRN/Flex Team

* Shift Preference:
Day Shift Night Shift Any

* Are you currently employed? Yes No

If so may we contact your present employer? Yes No

If presently employed, why are you considering leaving?

EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

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Location? *

Did you Graduate?
* Yes No

Degree Received *

Subjects Studied/Major *

EMPLOYMENT HISTORY

Please list your three most recent employers.

Employer 1

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To *

Job Title *

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May we Contact?
* Yes No

Responsibilities *

Reason for Leaving *

ADDITIONAL SKILLS

Please list any other skills and/or additional training related to this position.

REFERENCES

Please provide three references (not relatives).

Reference 1

Name *

Relationship *

Phone Number *

Email *

Reference 2

Name *

Relationship *

Phone Number *

Email *

Reference 3

Name *

Relationship *

Phone Number *

Email *

AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

* Date

* Signature (type name)

Equal Opportunity Employment

We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry,…