Help Wanted | The Driveway Inn

Full Name: *

Address *

Phone Number *

Email address *

Social Security Number *

Available Start Date *

Position Applying For: *

Employment Desired *

Part -Time
Full Time
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Desired Pay *

Availablity *

Are you a US Citizen *

Yes
No

If No, are you allowed to work in the US *

Yes
No

Have you every worked for this employer? *

Yes
No

Have you ever been convicted of a felony? *

Yes
No

High School Attended? *

Graduated? *

Yes
No

College Attended?

Graduated?

Yes
No

Degree-Certification

Employment History, Business Name, Address, Phone Number, Pay, Job Title, Responsibilities, Reason for Leaving *

Are we able to contact your previous employers for reference? *

Yes
No

IF HIRED ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK? *

Yes
No

IF HIRED ARE YOU WILLING TO CONSENT TO A DRUG TEST? *

Yes
No

Type Full-Name as Electronic Signature

Signature *

Date *

Disclaimer:

Applicant understands that this is an Equal Opportunity Employer and committed to excellence
through diversity. In order to ensure this application is acceptable, please print or type with the
application being fully completed in order for it to be considered.
Please complete each section EVEN IF you decide to attach a resume.
I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this
application leads to my eventual employment, I understand that any false or misleading
information in my application or interview may result in my employment being terminated.

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