Employment | Blue Wolf Tavern | Boardman, Ohio Restaurants

Personal

Name

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone

Cell Phone*

Email*

Social Security #*

Salary Requirements

Employment Interests

Position Desired

Date Available To Start*

Type of Employment You Are Seeking:*

Part Time
Full Time

Part Time: less than 30 hours/week
Full Time: over 30 hours/week

Have you previously worked for this company before or any of it's affiliates?*

Yes
No

Where*

When*

Relatives or friends currently employed with us?

Yes
No

Please specify who.

How were you referred to out organization? Check all that apply*

Please specify the current or previous employee who referred you*

Please Specify Other*

Do you have a valid current, and full drivers license?*

Yes
No

Selecting No to this question does not automatically disqualify you from some positions.

Enter the state your drivers license is issued in.*

Enter you drivers license number.*

Do you have reliable means of transportation to and from work?*

Yes
No

Do you have any dependency on drugs (prescription or not) or alcohol?*

Yes
No

Please Explain.

Have you been charged, indicted or convicted of a crime?*

Yes
No

If yes, explain number of convictions, nature of offenses leading to convictions, how recently such offenses were committed, sentences imposed, and types of rehabilitation.

Answering yes does not constitute an automatic rejection for employment. Date of the offense, seriousness, and nature of the violation, rehabilitation, and position applied for will be considered.

School history:

Where did you attend high school & college? (Click the + button to add a new row)*

School Name & Address	Major	Years Completed	GPA	Degree/Diploma

References

List 2 people we may contact who are qualified to evaluate your capabilities. Do not include relatives.

Name	Position	Company	Address	Telephone

Name	Position	Company	Address	Telephone

Employment History

Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.

Company Name (Most Recent)

Address

Company Address Company Address Line 2 City State ZIP Code

Phone

Dates Employed

From	To

Job Title

Supervisor

Base Rate of Pay (Hour/Week/Month)

Start	End

List jobs, duties, skills used or learned.

Advancements or promotions while you worked at this company.

Reason for leaving

Resigned with notice
Resigned without notice
Terminated

Please explain.

Eligible for rehire?

Yes
No

May we contact this employer for a reference?

Yes
No

Please explain.

Did you have another job before this one?*

Yes
No

Company Name (Second Most Recent)

Address

Company Address Company Address Line 2 City State ZIP Code

Phone

Dates Employed

From	To

Job Title

Supervisor

Base Rate of Pay (Hour/Week/Month)

Start	End

List jobs, duties, skills used or learned.

Advancements or promotions while you worked at this company.

Reason for leaving

Resigned with notice
Resigned without notice
Terminated

Please explain.

Eligible for rehire?

Yes
No

May we contact this employer for a reference?

Yes
No

Please explain.

Would you like to list another previous job?

Yes
No

Company Name (Third Most Recent)

Address

Company Address Company Address Line 2 City State ZIP Code

Phone

Dates Employed

From	To

Job Title

Supervisor

Base Rate of Pay (Hour/Week/Month)

Start	End

List jobs, duties, skills used or learned.

Advancements or promotions while you worked at this company.

Reason for leaving

Resigned with notice
Resigned without notice
Terminated

Please explain.

Eligible for rehire?

Yes
No

May we contact this employer for a reference?

Yes
No

Please explain.

Would you like to list a 4th job?

Yes
No

Company Name (Fourth Most Recent)

Address

Company Address Company Address Line 2 City State ZIP Code

Phone

Dates Employed

From	To

Job Title

Supervisor

Base Rate of Pay (Hour/Week/Month)

Start	End

List jobs, duties, skills used or learned.

Advancements or promotions while you worked at this company.

Reason for leaving

Resigned with notice
Resigned without notice
Terminated

Please explain.

Eligible for rehire?

Yes
No

May we contact this employer for a reference?

Yes
No

Please explain.

Summarize your special skills, abilities, and qualifications.

If under 18, can you furnish a work permit?

Yes
No

Are you of legal age to serve alcohol in this state?

Yes
No

If applying for serving or bartending positions

Are you of legal age to prepare alcoholic beverages in this state?

Yes
No

If applying for serving or bartending positions

Our restaurants and facilities are open 7 days a week with the exception of select holidays. Do you have any regularly scheduled or intermittent obligations which may affect your ability to be available to work?

Yes
No

*Answering yes does not necessarily limit your eligibility for employment

If offered a position to work for this company, how much notice do you need to offer your current employer?

Military Service

Have you ever served in the U.S. Armed Services?

Yes
No

US Military Duties

US Military Special Training

US Military Rank

Date entered

Date discharged

Have you ever been a member of the National Guard?

Yes
No

Date entered

Date discharged

HEALTH/DISABILITY

Are you registered disabled?*

Yes
No

If yes, please quote your registration number and certificate expiry date.

Do you have any illness/disability which causes you to take time off from work on a regular basis?*

Yes
No

*Answering Yes does not necessarily limit your eligibility for employment

If yes, please give details

Did you complete this application yourself?

Yes
No

If not, who did?

Digital Signature:

Entering your First Name + Middle Initial + Last Name will act as your digital signature.

Phone

This field is for validation purposes and should be left unchanged.

Employment Application

Blue Wolf Tavern

Personal

Employment Interests

School history:

References

Employment History

Military Service

HEALTH/DISABILITY