www.bayshorerestaurant.com

609.624.1717

Bayshore Restaurant

2515 Shore Rd., (Rt. 9)

Ocean View, NJ  08230

Pre- Employment Application / Equal Opportunity Employer

Applicant Information

Full Name:

 

Date:

 

Last

First

M.I.

 

 

 

Address:

 

Street Address

Apartment/Unit #

 

 

 

City

State

ZIP Code

 

Phone:

Email

 

Date Available:

Social Security No.:

Desired Salary:

$

 DOB:

Position Applied for:

 

Are you a citizen of the United States?

YES

NO

If no, are you authorized to work in the U.S.?

YES

NO

Are you able to pass a drug/alcohol test?

YES

NO

 

If No, explain:

 

Have you ever worked for this company?

YES

NO

If yes, when?

 

Have you ever been convicted of a felony?

YES

NO

 

 

If yes, explain:

Education

High School:

Address:

 

 

From:

To:

Did you graduate?

YES

NO

Diploma::

 

College:

Address:

 

From:

To:

Did you graduate?

YES

NO

Degree:

 

Other:

Address:

 

From:

To:

Did you graduate?

YES

NO

Degree:

References

Please list three professional references.

Full Name:

Relationship:

Company:

Phone:

Address:

 

 

 

 

Full Name:

Relationship:

Company:

Phone:

Address:

 

 

 

 

Full Name:

Relationship:

Company:

Phone:

Address:

Previous Employment

Company:

Phone:

Address:

Supervisor:

 

Job Title:

Starting Salary:

$

Ending Salary:

$

 

Responsibilities:

 

From:

To:

Reason for Leaving:

 

May we contact your previous supervisor for a reference?

YES

NO

 

 

 

 

 

 

 

 

 

 

Company:

Phone:

Address:

Supervisor:

 

Job Title:

Starting Salary:

$

Ending Salary:

$

 

Responsibilities:

 

From:

To:

Reason for Leaving:

 

May we contact your previous supervisor for a reference?

YES

NO

 

 

 

 

 

 

 

 

 

                  

 

 

 

 

 

 

 

Company:

Phone:

Address:

Supervisor:

 

Job Title:

Starting Salary:

$

Ending Salary:

$

 

Responsibilities:

 

From:

To:

Reason for Leaving:

 

May we contact your previous supervisor for a reference?

YES

NO

 

Military Service

Branch:

From:

To:

 

Rank at Discharge:

Type of Discharge:

 

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:

Date:

 

 

 

 

 

Contacts

2515 N Route 9, Ocean View, NJ 08230

Tel:(609) 624-1717