Arnaud's | New Orleans Restaurant

Employment Application [Printable Version (PDF)]

(An Equal Oppurtunity Employer)

Fill in all spaces. If an item does not apply insert "none". This application will be considered current for thirty days from this date. After that time the application must be renewed to be considered. You must fill in your own application. Applicants with disabilities who wish to discuss any need for reasonable accommodation in completing the application process are invited to discuss these concerns with the interviewer.

PERSONAL INFORMATION

Last Name	First Name	Middle Initial	Social Security Number

Present Address	City/State/Zip	How Long There?	Area Code/Phone #

Previous Address	City/State/Zip	How Long There?	Area Code/Phone #

Position Applied For

Salary Required

Date Available

Full or Part-Time:

Why did you apply to this company?
Are you willing to work every weekend (Saturday and Sunday)?	(Yes or No)
Are you willing to work nights?	(Yes or No)
Are you willing to take a physical exam?	(Yes or No)
Have you or a relative ever worked for this company?	(Yes or No)
If yes, please state date(s) of employment:
Have you ever applied to this company before?	(Yes or No)
If yes, when?
Are you a citizen of the United States or do you have the legal right to work in the United States?	(Yes or No)
Have you ever been convicted or plead no contest to a crime before a civilian or military court (other than a minor traffic violation)?	(Yes or No)
If so, give details (Conviction of a crime is not an automatic bar to employment. All circumstances will be considered):

Veteran of U.S. Armed Services	Service Branch	Date Entered	Date Discharged & final Rank
(Yes or No)

Please state whether you are at least 18 years of age:	(Yes or No)
Are you capable of performing all the essential duties of the position for which you are applying, with or without reasonable accomodation needed, if any?	(Yes or No)

EDUCATION

Education

Name & Address of School

Highest Level Completed

Course of Study

Graduated

Diploma or Degree

High School

N/A

(Yes or No)

N/A

College or University

(Yes or No)

Other (Specify)

(Yes or No)

If you are applying for a clerical position, please complete the following:

Speed in Typing: WPM

Dictation: WPM

Dictation Experience: (Yes or No)

Additional work experience, skills, information, licenses, certifications, special study or research work relating to position applied for or of general interest:
Is any additional information necessary to enable a check of your records, such as a change of name, use of an assumed name or nickname?	(Yes or No)
If yes, please explain:
Are you currently employed?	(Yes or No)
May we contact your present employer?	(Yes or No)

EMPLOYMENT HISTORY

Employer 1

Name, Address & Telephone

Starting Position

Final Position

Rate of Pay

Start:

Final:

Name of Supervisor

Dates Employed

From:

To:

Reason for leaving

Employer 2

Name, Address & Telephone

Starting Position

Final Position

Rate of Pay

Start:

Final:

Name of Supervisor

Dates Employed

From:

To:

Reason for leaving

Employer 3

Name, Address & Telephone

Starting Position

Final Position

Rate of Pay

Start:

Final:

Name of Supervisor

Dates Employed

From:

To:

Reason for leaving

By submitting this form, you agree to the following:

I certify that answers to the foregoing questions are true and correct and understand that any false or misleading or omission on the application shall be sufficient cause for rejection or immediate dismissal. I hereby authorize release of any information regarding any criminal convictions that may exist against me, and ask my former employer(s) and all other persons named herein who might have information concerning me, to give any information regarding my former employment or any other information thay may have regarding me whethewr or not the same is a matter of record, and hereby release them and each of them from any liability for any damage whatsoever which I could or might claim because od such disclosure.

In making this application for employment, it is understood and accepted that as a part of the application and employment process, and/or during employment with Arnaud's, I may be asked to submit to polygraph examinations, stress tests, or physical examinations which will include testing for alcohol and drugs, and/or be fingerprinted. By signing this application, I hereby agree to submit to such examinations, test, and fingerprinting and release all persons and companies from any liability arising out of such examinations, tests, and fingerprintings.

I understand that the use of this form does not indicate that there are positions open and does not in any way obligate Arnaud's. If employed, I agree to abide by and observe all of Arnaud's rules and regulations. I further understand that any such future employment is terminable by either party at will, with or without notice or cause.

In making this application, it is understood that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends or others with whom I am acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. (Under the Fair Credit Reporting Act, an applicant will be advised if a consumer credit check plays a factor in rejecting the applicant.)

Date:

Applicant: