Please provide us with the following information and submit you employment application for review.
** ALL FIELDS ARE REQUIRED FOR SUBMISSION **
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Employment Application
* I certify that I have read and understand the applicant note on this form and that the answers given by me to the questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in the rejection of my application or discharge at anytime during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, to verify this information, including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited prior to and during employment. I agree to mediate in good faith any issue which arises concerning my hiring, my employment or termination from employment.
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE NUMBER:
HAVE YOU EVER WORKED AT CURRY BEFORE? IF SO, WHEN?
DID SOMEONE REFER YOU TO CURRY? IF SO, WHO?
REQUESTED PAY RATE:
DATE AVAILABLE FOR WORK:
HIGHEST LEVEL OF EDUCATION & DID YOU GRADUATE? (PLEASE INCLUDE DATES)
TRADE/SPECIALTY EDUCATION:
PREVIOUS EMPLOYER:
DATES OF EMPLOYMENT:
JOB DESCRIPTION:
DO YOU HAVE A VALID DRIVERS LICENSE? IF SO, WHAT KIND?
HAVE YOU EVER BEEN CONVICTED OF A FELONY AND/OR SERVED TIME FOR A FELONY WITHIN THE LAST SEVEN YEARS? IF SO, EXPLAIN.
ADDITIONAL INFORMATION & COMMENTS:
DIGITAL SIGNATURE:
DATE:
EMAIL ADDRESS:
POSITION APPLIED FOR:
HAVE YOU APPLIED OR INTERVIEWED HERE BEFORE? IF SO, WHEN?
Personal Information
Employment History
Education
