Panagiri Inc. dba Paco’s Mexican Restaurant

Employment Application

An Equal Opportunity Employer

Date *
Date
Please enter date of application
Name *
Name
Present Address *
Present Address
Permanent Address
Permanent Address
Please enter if different from PRESENT ADDRESS
Home Phone
Home Phone
Cell Phone
Cell Phone
Employment Desired *
Regular Full-Time *
Regular Part-Time *
Temporary Work *
e.g. Summer or Holiday
Days or Hours Available to Work *
Schedule
Would you be available to work off-site banquets? *
Are you available for work on weekends? *
Would you be available to work overtime, if necessary? *
If hired, what date can you start work? *
If hired, what date can you start work?
$
Personal Information
Have you ever ever applied to or worked for Panagiri Inc. dba Paco’s Mexican Restaurant before? *
If YES, when?
If YES, when?
Do you have any friends or relatives working for or worked for Panagiri Inc. dba Paco’s Mexican Restaurant? *
If yes, state name(s) and relationship
If hired, would you have a reliable means of transportation to and from work? *
If hired, can you provide evidence of your U.S. citizenship or proof of your legal right to live and work in this country? *
Are you at least 18 years old? If under 18, hire is subject to verification that you are of minimum legal age. *
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation? *
NOTE: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.
Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Misdemeanor convictions for marijuana-related offences that are more that two years old need not be listed.)
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Are you currently employed? *
If so, may we contact your current employer?
Education, Training and Experience
High School Address
High School Address
Did you graduate? *
College/University Address
College/University Address
Did you graduate? *
Vocational School Address
Vocational School Address
Did you graduate?
OPTIONAL: Do you speak, write or understand any foreign languages?
Do you have any other experience, training, qualifications, or skills that you feel make you especially suited for work at Panagiri Inc. dba Paco’s Mexican Restaurant? *
Military Service
Have you obtained any special skills or abilities as a result of service in the military *
EMPLOYMENT HISTORY
Employer Phone
Employer Phone
Employer Address
Employer Address
Date of Employment Start
Date of Employment Start
Date of Employment End
Date of Employment End
Pay Type
$
$
May we contact your employer for a reference?
Employer 2 Phone
Employer 2 Phone
Employer 2 Address
Employer 2 Address
Date of Employment 2 Start
Date of Employment 2 Start
Date of Employment 2 End
Date of Employment 2 End
Pay Type 2
$
$
May we contact your employer 2 for a reference?
Please Read Carefully, Initial Each Paragraph and Sign Below
Date *
Date