C's Waffles | Application

Dear Applicant,

Welcome to “C’s Waffles. Prior to completing the application for employment, please understand that we are serious about creating a productive working environment for our staff and maintaining the highest levels of quality, service and attention for our guests.

We want you to understand that we also believe in living our values, some of which are:

We believe that good isn’t enough

We believe in doing business in a professional and orderly manner

We believe in honesty and integrity

We believe that only a happy and professional staff can give the level of personal service we demand

We believe in a teamwork culture

We believe in a smoke and drug free work environment

We believe in ongoing training and development of our staff and see it as a worth investment in the future of our company

We believe in providing legendary service - the unique and powerful sort of personal care and attention that our guests tell stories about

we believe that everyone is capable of being an A+ player

If this feels like an environment for you, please complete the application below.

Application for Employment

Position applied for *

Date *

How did you find out about this job? If other please list. *

If other please tell us.

Applicant Information

First Name *

Middle Name

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

If hired, do you have a reliable means or transportation to get to work? *

Describe *

Are you at least 16 years old? *

Are you at least 18 years old? *

Can you lift 35 lbs? *

Do you use social media? *

If yes, please list your Facebook and twitter profile names: *

Are you legally eligible for employment in the U.S.?Proof of U.S. Citizenship or immigration status is required if hired.) *

Have you been convicted of a crime? *

If yes, state the nature of the offense and disposition of the case. Include Dates and Places. (Note the existence of a criminal record does not constitute an automatic bar to employment.)

Are you a veteran? If yes, give dates of service. *

From

List any special skills or training:

Employment Information

Are you seeking Full Time, Part time or Temporary Employment? *

What hours and shift(s) would you prefer to work? *

List days, times and explanations of when you are not available to work.

Are you willing to work overtime? *

Are you willing to work weekends? *

Are you willing to work Holidays? *

Are you currently Employed? *

If hired, when would you be able to start? *

Have you ever worked for this organization before? *

If yes, name used?

Have you ever been discharged or asked to resign from any position? *

If yes, please describe.

List any friends or relatives employed by this company:

Are you able to perform the tasks listed in our values at the top of this application? *

Please describe which task, if any, you will need accommodation to perform, and explain what type of accommodation you will need:

Education

Primary Education (select highest level of education achieved) *

Name of School *

Location of School *

If in High School, are you enrolled in a recognized co-op program? *

If yes, identify program and school:

College Education ( Select Years of College Education)

Name of College

Location of College

Work History (please begin with most recent)

1. Company

Phone Number

Address

City/State/Zip

Starting Employment Date

Ending Employment Date

Starting Salary

Ending Salary

Job Title

Supervisor’s Name

Supervisor’s Title

Briefly describe duties

Specify reason for leaving

2. Company

Phone Number

Address

City/State Zip

Starting Employment Date

Ending Employment Date

Starting Salary

Ending Salary

Job Title

Supervisor’s Name

Supervisor’s Title

Briefly describe duties

Specify reason for leaving

3. Company

Phone Number

Address

City/State/Zip

Starting Employment Date

Ending Employment Date

Starting Salary

Ending Salary

Job Title

Supervisor’s Name

Supervisor’s Title

Briefly Describe Duties

Specify reason for leaving

May we contact the employers above? *

If nom list the employers you do not wish us to contact and why:

Personal References

Reference Name *

Reference Phone Number *

Reference Name *

Reference Phone Number *

Authorizations & At-Will Employment Agreement

(please read carefully then type your name and date below)

I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification for my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my application is pending or during my employment, if hired.

I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying this information. I understand any false answered, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge.

I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for supplying information to this company.

Upon termination of my employment for whatever reason, I release this company from all liability for supplying and information concerning my employment to any potential employer.

I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations.

I hereby agree to submit to any drug test required of me. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job related. I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician.

At Will Employment

I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company and me. In addition, I understand and agree that if you employ me, inconsideration of my employment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company’s president is authorized to change the employment-at-will status and such a change can only be done in writing. I have read, understand, and agree to the above.

By typing your name and date below and hitting the submit button you agree to the above statements.

Name *

date *

Application

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