Employment Application

The following on-line application is provided for those interested in hourly employment at one of our restaurants. Interested applicants should contact the restaurant of choice for job openings and interview times. Then print and sign the completed application and bring in with you at the time of your interview. Applications are also available at each restaurant.

Position Applying For Charlie's Location

PERSONAL

Name
Last,  First,  Middle
Address
Street,   City,  State,   Zip
Telephone    Social Security Number  
Are you over 18 years of age? Yes No

Are you over 21 years of age? Yes No
Do you have legal right to remain and work in the United States?

Yes No
After employment, can you submit proof of citizenship or legal entry into this country?

Yes No
How were you referred to Charlie's Ale House?

Company Image Relative Friend Newspaper

Other  
Have you ever worked for Charlie's Ale House?

Yes No    If Yes,  When?     Where?  
Names of friends and relatives working for Charlie's Ale House.

AVAILABILITY

LIST HOURS AVAILABLE FOR WORK:

Sun. M T W Th F Sat.
DAY
NIGHT
Salary expected:
Total Weekly Hours Desired:

Explained below are circumstances, including other employment, which will limit my hours
of availability with Charlie's



EDUCATION

CHECK LAST GRADE COMPLETED:
Grade   5 6 7 8
High School   1 2 3 4
College   1 2 3 4
Name and address of last school attended:
Special Skills and Training:



PERSONAL REFERENCE

LIST TWO (2) PERSONAL REFERENCES, PERSONS WHO HAVE KNOW YOU FOR AT LEAST ONE YEAR. DO NOT INCLUDE RELATIVES:
1.
Name,   Address,  Occupation
2.
Name,  Address,  Occupation
1. May we contact?  Yes  No

2. May we contact?  Yes  No



EXPERIENCE

LIST LAST FOUR EMPLOYERS - BEGINNING WITH LAST EMPLOYER FIRST:

Employer
 Address
Your Title
 Supervisor's name and telephone
Duties
Reason For Leaving
 From     To  
 May we contact?    Yes No
 Starting Salary  
 Last Salary  
Employer
 Address
Your Title
 Supervisor's name and telephone
Duties
Reason For Leaving
 From     To  
 May we contact?    Yes No
 Starting Salary  
 Last Salary  
Employer
 Address
Your Title
 Supervisor's name and telephone
Duties
Reason For Leaving
 From     To  
 May we contact?    Yes No
 Starting Salary  
 Last Salary  

       I authorize investigation of all statements contained in this application form if I am considered for employment, and hereby authorize previous employers, personal references named, or any other person or persons to whom the company may refer to give any and all information regarding my employment or scholastic standing together with any other information, personal or otherwise, that may not be on their records.
       I understand that misrepresentation or omission of the facts called for hereon or receipt of unsatisfactory references will be sufficient cause for dismissal from the company's service if I shall have been employed.
       I understand the need and importance of scheduling reliable staff during those work days and hours required to conduct your business. I acknowledge company rules and policies require that I inform my scheduling manager any changes in my work availability. Accordingly, I understand and agree it is my responsibility to immediately inform my scheduling manager of any changes.
       I further understand that if I shall be employed, my employment will be on a probationary basis and either of us may terminate our work relationship for any reason. I may be discharged at any time for my inability to adapt myself to their requirements and duties of my employment.

Date:   __________________________
Applicant's Signature: ________________________________________________
APPLICANT: DO NOT USE THIS SPACE
Interview Date: _______ Notes: _______________________________________
Start Date: __________ Wage: ____________ Position: _____________ Work Permit?
Yes ____  No ____
_________________
Date: 		 _______________________________________
Manager's Signature: 

Charlie's Ale House