Please feel free to fill out this application for employment.  If we are in need of service we will contact you for further consideration.  Thank you.


Name:  Social Security No.   
Email:
Address:
 Phone:

Have you applied with us before?
Yes     No

If under 18, can you furnish a work permit?		Yes    No

Are you currently employed?


Yes     No
May we contact your present employer?Yes     No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?  (Proof of citizenship or immigration status will be required upon employment)

Yes     No

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Employment Experience
Start with your present or last job.  Include any job-related military service assignments and volunteer activities.  You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected. status.

Employer


Address


Telephone Number
Employer


Address


Telephone Number
Image Validation:
Please enter the characters
in the image to the right.
All letters are lowercase. 		Image Validation
Characters:
 
 feed back
 
 


 

 

Copyright © 2007 Park Place Diner & Bakery. All rights reserved.

Web Site Created By: AllYouWantWebs.com