Monkey Joe's | North Carolina 28403 - Employment Application

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Employment Application

Monkey Joe’s Wilmington 28403-6180
Longleaf Hills Mall 4310-101 Shipyard Blvd | Wilmington NC 28403-6108 | Phone: 910-392-JOES(5637) Fax: 910-392-5646 Email: feedback.28403@monkeyjoes.com
Manager: manager.28403@monkeyjoes.com

Employment Application

This application will remain on file for 30 days
Monkey Joe’s is an equal opportunity employer. Qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status or disability.

Personal Data

First Name:	Last Name:	Middle Inital:

Present Address

Street Address:

City:

State/Province:

Zip Code:

How long have you lived at this address?

Phone:(Include Area Code)	Email Address:

Previous Address

Street Address:

City:

State/Province:

Zip Code:

Employment Information

Job Applied For:
Rate of Pay Expected:	$ PER

Type of employment desired:
Date available to start:

Availability: List hours available to work per week

Days Available | Hours Available:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Have you ever worked for a Monkey Joe’s before?

If yes, when and where

Do you have any relatives or friends currently working for Monkey Joe’s?

If yes, state relationship to you and the Monkey Joe’s location:

Do you have reliable transportation to and from work?

Do you have any physical, mental, or medical impairment that would interfere with your ability to perform the essential duties of this job with or without an accommodation:

If “Yes”, please describe in full. (Refer to position description if necessary)

Are you able at the time of employment to submit verification of your legal right to work in the U.S.?:

(Verification and completion of Form I-9 must be submitted no later than 3 business days after date of hire)

Employment History

Start with most recent position, furnish dates and explanations for each period of unemployment of one month or more.

1. Employer Name & Address :

Position/Duties:

Phone: (Include Area Code)

Starting Salary:

Ending Salary:

Reason for Leaving:

Supervisor:

2. Employer Name & Address:

Position/Duties

Phone: (Include Area Code)

Starting Salary:

Ending Salary:

Reason for Leaving:

Supervisor:

3. Employer Name & Address:

Position/Duties:

Phone: (Include Area Code)

Starting Salary:

Ending Salary:

Reason for Leaving:

Supervisor:

4. Employer Name & Address:

Position/Duties:

Phone: (Include Area Code)

Starting Salary:

Ending Salary:

Reason for Leaving:

Supervisor:

Personal References (Not former employers or relatives)

List two personal references who are not relatives or former supervisors.

Name:

Phone:(Include Area Code)

Address:

Occupation:

Number of years known:

Name:

Phone:(Include Area Code)

Address:

Occupation:

Number of years known:

Record of Education

(Please complete all appropriate items)

High School:

Years Completed:

Field of Study:

List Diploma or Degree:

Extracurricular Activities:

Did you Graduate:

College/University:

Years Completed:

Field of Study:

List Diploma or Degree:

Extracurricular Activities:

Did you Graduate:

Business/Technical/Other:

Years Completed:

Field of Study:

List Diploma or Degree:

Extracurricular Activities:

Did you Graduate:

Background

Are you at least 18 years of age or older?
Have you ever been counseled or disciplined in a prior job for cash handling violations?
Have you ever been counseled, disciplined or terminated in a prior job for theft, violence, discrimination or harassment?

If you have answered Yes to any of the above, please describe in full:

Security Data

Within the past 10 years, have you ever been convicted of a felony, entered a plea of nolo to a felony charge or been convicted of a misdemeanor?

If yes, please describe

* A yes answer is not an automatic bar to employment. All individual circumstances may be considered.

IMPORTANT – READ BEFORE SIGNING

I certify that information given herein is true and complete to the best of my knowledge. If employed by the Company, I understand and agree that, to the extent permitted by federal, state and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles and computers) and, in certain circumstances, my personal property.

I authorize investigation of all statements and references contained in this employment application as may be necessary in arriving at an employment decision, including requests for criminal or credit reports. I understand that incorrect, misleading, falsified or omission of information on this application may result in disqualification from consideration of employment or immediate termination of employment. I acknowledge that this employment application and all other company documents are not contracts of employment and that any individual who is hired may voluntarily leave employment and/or may be terminated by the employer at any time and for any reason. I also understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by any prospective or existing employee. I understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs during employment.

Signature:

Date: