Diner & Motel Employment Application

Moody's Diner & Motel Employment Application

Starred Fields (*) Are Required

Personal Information

First Name*

Middle

Last Name*

Street Address*

City, State & Zip*

Home Phone*

Email Address

Since Federal and State Law places occupational and hourly restrictions upon minors, please indicate which one applies to your age:

I am:* 14 or 15
16 or 17
18 or Older

When are you available to start work?*

Employment Application - Page 2

Work Availability

Please list any days of the week you are NOT available to work* I can work any day of the week
Except Sunday
Except Monday
Except Tuesday
Except Wednesday
Except Thursday
Except Friday
Except Saturday

Which of these shifts are you available to work?* 7-3
3-11
Both
Overnight

Please indicate the position(s) you are interested in* Wait Staff
Cashier/Hostess
Line Cook
Kitchen Prep
Dishwasher
Pastry Cook
Restaurant Cleaning
Motel Housekeeping

Employment Application - Page 3

High School Education

Name & Location of High School*

Number of Years Attended*

Are You a Graduate?* Yes
No

College Education

Name & Location of College(s)

Number of Years Attended

Are You a College Graduate? Yes
No

Employment Application - Page 4

Employment History

Have you been employed before? Yes No

1. Company Name

Supervisor

Phone

Employed: (From mm/yy To mm/yy)

Pay Rate ($$)

Reason for Leaving (1000 chars left)

2. Company Name

Supervisor

Phone

Employed: (From mm/yy To mm/yy)

Pay Rate ($$)

Reason for Leaving (1000 chars left)

3. Company Name

Supervisor

Phone

Employed: (From mm/yy To mm/yy)

Pay Rate ($$)

Reason for Leaving (1000 chars left)

Employment Application - Page 5

Professional / Work References

Name*

Phone*

Describe how this reference knows you (200 chars left)*

Name*

Phone*

Describe how this reference knows you (200 chars left)*

Name*

Phone*

Describe how this reference knows you (200 chars left)*

Military Service

Did you serve in the Armed Forces? Yes No

What Branch?

Please describe any relevant training you received (2000 chars left)

Employment Application - Page 6

Additional Information

Please list any additional comments about yourself or any necessary information that would be relevant to your employment at Moody's. (3000 chars left)

Acknowledgement

The information I have provided in this application is true, correct, and complete. I understand that false, incomplete, or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorize Moody's to contact the employers or references that I have listed to obtain information about me that would be relevant to my employment.

This application is not an employment agreement. If I accept an offer of employment, I understand that Moody's may terminate my employment at any time, with or without cause and without prior notice, unless required by law.

I fully understand and accept all terms and conditions in the above statement.*

My Full Name*

Application Submission Date*

Optional: email a copy of this application to me at this address

Thank you for submitting an employment application to Moody's Diner & Motel.

We will be in touch with you in the near future about your application.

Moody's Diner & Motel Employment Application

Personal Information

Employment Application - Page 2

Work Availability

Employment Application - Page 3

High School Education

College Education

Employment Application - Page 4

Employment History

Employment Application - Page 5

Professional / Work References

Military Service

Employment Application - Page 6

Additional Information

Acknowledgement

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