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Menu
Gift Cards
Order Online
About
Give Bach
Events
- Specials
- Happy Hour

Application for Hire

Date of application *

First Name *

Middle Name

Last Name *

Email Address *

Daytime Phone *

Nighttime Phone

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Are you legally able to work in the United States? (Proof of identity and legal authority to work in the United States is a condition of employment) *YesNo

What position are you applying for? *

At which location would you like to work? *

If Other, explain here

Desired starting wage

What employment are you seeking?

Have you ever been employed at Burger Bach? *YesNo

If Yes, what location?

What was the date of your employment at that location?

Who Referred you to Burger Bach restaurant?

Date available for employment *

Have you ever been convicted of a felony which has not been annulled or sealed by a court? (convictions will not necessarily exclude you from employment, but date and type of conviction may be considered for job placement.) *YesNo

If YES, please explain

WORK SCHEDULE AVAILABILITY

What shifts are you available to work? We have shifts from 7:00 AM to 12:00 AM - DAY OF THE WEEK *SundayMondayTuesdayWednesdayThursdayFridaySaturday

TIME OF DAY (Ex: 7am to 6pm) *

Are you willing to work a split shift? *YesNo

Are you willing to come in early or stay late in case of emergency? *YesNo

Are you willing to work holidays/weekends (Friday-Sunday)? *YesNo

How many hours do you expect to work? *

EDUCATION

High School

Street Address

City

State/Province

ZIP / Postal Code

Courses majored in

Last year completed

Diploma / Degree?YesNo

College

Street Address

City

State/Province

ZIP / Postal Code

Courses majored in

Last year completed

Diploma / Degree?YesNo

Other Education

Street Address

City

State/Province

ZIP / Postal Code

Courses majored in

I affirm that all information in this appplication is true and complete. *YesNo

Last year completed

Diploma / Degree?YesNo

PERSONAL REFERENCE 1

Ref. 1 Name

Ref. 1 Street Address

Ref. 1 Apartment, suite, etc

Ref. 1 City

Ref. 1 State/Province

Ref. 1 ZIP / Postal Code

Ref. 1 Phone

Ref. 1 Relationship

Ref. 1 Years Acquainted

PERSONAL REFERENCE 2

Ref. 2 Name

Ref. 2 Street Address

Ref. 2 Apartment, suite, etc

Ref. 2 City

Ref. 2 State/Province

Ref. 2 ZIP / Postal Code

Ref. 2 Phone

Ref. 2 Relationship

Ref. 2 Years Acquainted

PERSONAL REFERENCE 3

Ref. 3 Name

Ref. 3 Street Address

Ref. 3 Apartment, suite, etc

Ref. 3 City

Ref. 3 State/Province

Ref. 3 ZIP / Postal Code

Ref. 3 Phone

Ref. 3 Relationship

Ref. 3 Years Acquainted

WORK EXPERIENCE

Employer 1

Emp. 1 Phone

Emp. 1 Street Address

Emp. 1 Apartment, suite, etc

Emp. 1 City

Emp. 1 State/Province

Emp. 1 ZIP / Postal Code

Emp. 1 Supervisor

Emp. 1 Title

Emp. 1 Your Position

Emp. 1 Start Date

Emp. 1 Ending Date

Emp. 1 Starting Wage

Emp. 1 Ending Wage

Emp. 1 Reason for Leaving

Employer 2

Emp. 2 Phone

Emp. 2 Street Address

Emp. 2 Apartment, suite, etc

Emp. 2 City

Emp. 2 State/Province

Emp. 2 ZIP / Postal Code

Emp. 2 Supervisor

Emp. 2 Title

Emp. 2 Your Position

Emp. 2 Start Date

Emp. 2 Ending Date

Emp. 2 Starting Wage

Emp. 2 Ending Wage

Emp. 2 Reason for Leaving

Employer 3

Emp. 3 Phone

Emp. 3 Street Address

Emp. 3 Apartment, suite, etc

Emp. 3 City

Emp. 3 State/Province

Emp. 3 ZIP / Postal Code

Emp. 3 Supervisor

Emp. 3 Title

Emp. 3 Your Position

Emp. 3 Start Date

Emp. 3 Ending Date

Emp. 3 Starting Wage

Emp. 3 Ending Wage

Emp. 3 Reason for Leaving

I AFFIRM THAT ALL INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE.** *YesNo

Applicant Signature *

Date *

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