---Name: Date:

"WE ARE ALWAYS LOOKING FOR GOOD PEOPLE"

We are looking for people who want to work in a cheerful and helpful environment; people who honestly

enjoy helping other people, both your fellow employees and our customers.

CASA'S CAFE Panama Square

to Applicants" 747-8999

want

fill out this ClFjJl1\.>CUl completely; even if doesn't

indicate who can handle

it N/A. a

is answered of details we

We'll you give us on application if Any false or misleading statements will disqualify you consideration no matter how talented

not as concerned in tell us, as we are the best if vou want to

We will want to be to verify your We will want to talk to your or co-workers. sure to list valid names numbers. We

your Conect phone your schools want to department are

understand that

Cigarette with the permission of a Cigarette operation.

be taken, but will not be allowed if interfere with of our restaurants

rushes.

We are committed to maintaining a We don't possession of

the

workplace. or alcohol on or alcohol.

don't

give it some yourself, why ;'UVU1U

carefully it. We will statement onRead applications.not

Screening Interview (Please jill this out)

Name: Position:

As a member our foodservice staff, how would you help improve repeat business?

If I asked your best friend to describe you what would they say?

If you saw someone you thought you recognized but weren't quite sure, what would you do?

What qualities do you need to be a great (position applied for) in a restaurant?

Is it difficult for you to carry on "small talk" with people?

What recent accomplishments do you take great pride in?

What are some reasons for your success?

What would your previous employers say about your work?

What would you do to make a negative situation positve?

What kinds of people irritate you?

How do you decide what to do with your time off?

What activities have you been involved in during the past two years?

What motiviates you to get your job done?

How do you feel about doing more than one activity at a time?

I

ApPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONNAIRE EQUAL OPPORTUNITY EMPLOYER

PERSONAL INFORMATION DATE

• .

NAME (LAST NAM E FIRST) I SOCIAL SECURITY NO.

- -

PRESENT l\DDRESS CITY STATE ZIP CODE

PERMANENT ADDRESS CITY STATE ZIP CODE

PHON E NO.

( ) IREFERRED BY

EMPLOYMENT D ESIRED POSITION DATE YOU CAN START SALARY DESIRED

AREYOU DYESEMPLOYED NOW? o NCl

IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER? DYEs ' O NO DYES ONO

EVER APPLIED TO WHERE? WHEN?

THIS COMPANY BEFORE? DYES D NO ----~- --­ ----_ . _ . -

EDUCATION HISTORY

I NAME & LOCATION OF SCHOOL I YEARS ATTENDED

DID YOU GRADUATE? SUBJECTS STUDIED

. . HIGH SCHOOL

,

COLLEGE

TRADE, BUSINESS OR CORRE SPONDENCE

SCHOOL - --­ --_.­ --­

GENERAL INFORMATION SUBJECTS OF SPECIAL STUDY/RESEARCH WORK

SPECIAL TRAINING

'SPECIAL SKI LLS

U.S. MILITARY OR IRANKNAVAL SERVICE

FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)

DATE NAME & ADDRESS OF EMPLOYER SALARY I POSITION REASON FOR LEAVINGMONTH AND YEAR

FROM

TO

FROM

TO

FROM ..

TO

FI~OM

TO

/h adams 9661 AUG 2007 APPLICATION FOR EMPLOYMENT CONTINUED ON OTHER SIDE

•

REFERENCES GiVE BElOW THE NAMES OF TH REE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST 0

•••J....

_____~I

AUTHORIZAnON "I cert ify that the facts contained in t his application are true and complete to the best of my knowledge and understand

that, if employed, falsified statements on t his app lication shall be grounds for dismissal. I aut horize investigation of all statements cont ained herein and the references and employers listed above to give you any

and all inform ation concerning my previous employment and any pertinent information they may have, personal or otherwise, and release th e company from all liabil ity f or any damage that may result from utilization of such information.

I also understand and agree that no represe ntative of the company has any authority to enter into any agreement for employment f or any specified period of t im e, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This \f.-la iver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans w ith Disabilities Act (ADA) and other reievant federal and state laws."

DATE SIGNATURE

- - ----- - - DO NOT WRITE BELOW THIS UNE--------­

_________________________________________ DATE ____________________________INTERVIEWED BY

REMARKS

NEATNESS

PERSONALITY

HIRED

CHARACTER

ABILITY

\FOR DEPT. \ POSITION !WILL

REPORT !SALARY WAGES

APPROV ED: 1. ______~==~==~~~=_--------2. 3. ________~---------------EMPLOYMENT MANAGER DEPARriofENT HEAD GENERAL MANAGER •

This appUc;.rtion for employment is sold only for gene.ral use throughout the United States. Adams assumes no responsibility and hereby disdaims any liability for the indU5ion in this fonn ofany questions or I1!qIIeSt$ for infonnation upon which a violation o f local, state, andlor ~al law may be based. It;s the user's responsibility to etI$I.II1? that this form 's use complies with applicable laws, which change from time to time.