Blue Chalk Cafe Corporation

Team Member Application for Employment

BLUE CHALK CAFE CORPORATION IS AN EQUAL OPPORTUNITY EMPLOYER
Position Applied For:     Restaurant:    
Full Name including Middle Name:             
Present Address
Street        City        State        Zip    
Phone Number               SSN (optional)    
Are you 18 years or older? Yes          No     
If you are under 18, do you have a work permit? Yes          No     
Have you ever been convicted of a felony which has not been sealed by the court?
If yes, in what State?     In which County?     		Yes          No     
Have you ever applied for employment with Blue Chalk Cafe Corporation?
If yes, where and when?     		Yes          No     
Have you ever been employed by Blue Chalk Cafe Corporation?
If yes, where and when?     		Yes          No     

EMPLOYMENT HISTORY
Starting/Ending Dates Name, Address & Phone Number of Employer Supervisor Position Salary Reason for Leaving
OTHER ADDITIONAL INFORMATION

(This information is for the purpose of considering your requests. It does not constitute a promise or guarantee of employment.)
Times available to work (Be specific as to the hours & days)
 What days and times are you NOT able to work?
 On what date would you be available to start work?
Are you currently enrolled in school?   Yes    No   Wage expectations     How many hours per week are you available to work?
Why do you feel you are qualified to perform the work for which you are applying?
Is there anything this company should know about your background that, if employed, would affect your employment or the performance of your job?

TO BE CONSIDERED YOU MUST DIGITALLY SIGN THIS APPLICATION WITH YOUR EMAIL ADDRESS
 

Applicant's Statement
  I understand and agree that:
1. Any misrepresentation or omission of a fact in my application may be justification for refusal of employment or, if employed, termination from employment.
2. It is my understanding that the Blue Chalk Cafe Corporation may make a thorough investigation of my entire work and personal history and may verify all data given in my application for employment, related papers, and/or oral interviews. I authorize such investigation and the giving and receiving of all information requested by Blue Chalk Cafe Corporation. I release from any liability any person giving or receiving any such information requested by Blue Chalk Cafe Corporation. I understand that information discovered as a result of this investigation may prevent me from being hired, or if hired, may subject me to immediate dismissal.
3. If employed, I will immediately read the Blue Chalk Cafe’s Handbook and I will conduct myself in accordance with the handbook and all of the other Blue Chalk Cafe Corporations’ rules and regulations.
4. If employed, my employment will be on at “At Will” basis. I understand and agree that either Blue Chalk Cafe Corporation or I can terminate our employment relationship at any time, for any reason, with or without advanced notice and with or without cause. If employed, I understand that this arrangement cannot be changed except in a written document signed by me and the company. I understand that, if I am employed, this statement will be part of the employment agreement between Blue Chalk Cafe Corporation and me, and will be binding on me.

Digital Signature of Applicant (your email address):     Date:    

Please print your application for reference before submitting it.