Contact Information
First Name:
Middle Initial:
Last Name:
Address:
City:
State:
Zip Code:
Cell Phone:
Email:
Job Information
How did you find out about job opportunities at Fat Sandwich Company?
Referred by a friend
Walked In
Flyer
Referred by FSC Employee
Other
What job are you looking for at Fat Sandwich Company?
Register
Grill / Cook
Wrapper
Delivery Driver
Shift Manager
What hours do you want to work?
Full Time
Part Time
# of hours per week:
Starting Wage: $
per hour
What shift(s) is best for you?
Shift 1: 11am - 5pm
Shift 2: 5pm - 10pm
Shift 3: 10pm - Close
Education
Level of education completed?
Diploma/Degree
College or University
High School
Other
Name, City, State:
From:
To:
(year)
Recent Employment
Name of Employer:
May we contact them?
Yes
No
Employer Telephone:
Position:
Ending Salary:
(hourly or annually)
Why did you leave?
Emergency Contact
Name:
Relationship:
Work Telephone:
Home Telephone:
Address:
Personal Reference
Name:
Relationship:
Telephone:
City/State:
Other Information
Have you ever been convicted of a crime (excluding traffic violations)?
Yes
No
Are you currently charged with a crime (excluding traffic violations)?
Yes
No
Have you ever threatened or committed an act of violence, harassment or discrimination?
Yes
No
If you answered YES to any of the above, please explain in detail (if a criminal offense, provide type of offense , whether it is a felony or misdemeanor, date of conviction, sentence or penalty received, city, county and state where convicted). Convictions of a crime will not necessarily disqualify you from consideration for employment and will be considered as it relates to the job in question.