Burger Bench Online Application

 

Please complete the form below

Name *
Name
Date *
Date
Address
Address
Phone
Phone
Are you 18 years or older? *
Are you 21 years of age or older? *
Do you have a Food Handler Card? *
If yes, then Food Handler Card expiration date:
If yes, then Food Handler Card expiration date:
Are you either a U.S. citizen or an alien authorized to work in the U.S.? *
Date when available to start
Date when available to start
$
Do you prefer:
Generally, which hours are you able to work?
Education
Graduated?
Graduated?
Are you experienced in using Point of Sale systems?
Employment History
Employer 1 Information
Employment start and end dates for Employer 1. If still there, enter 'Present' for end date.
$
Employer 2 Information
Employment Start and end dates for Employer 2.
$
References
Please list at least two professional references who are familiar with your work. You may use one personal reference.
First Reference
Name
Name
Phone number
Phone number
Second Reference
Name
Name
Phone number
Phone number
Third Reference
Name
Name
Phone number
Phone number
Authorization and Acknowledgements *
I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge. I authorize Burger Bench, LLC to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.