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*

Cell 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
Not Sunday
Not Monday
Not Tuesday
Not Wednesday
Not Thursday
Not Friday
Not Saturday

Please indicate your desired place(s) to work* Moody's Motel & Cabins
Moody's Gifts
A Twist of Moody's Ice Cream
Moody's Diner - Kitchen
Moody's Diner - Dining Room
Moody's Diner - Bakery

Employment Application - Page 3

Name & Location of Junior High School*

Number of Years Attended*

Are You a Graduate?* Yes
No

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

If you have been employed before, please complete the Work History information below.

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

Name

Phone

Name

Phone

Military Service

Did you serve in the Armed Forces? Yes No

If Yes, 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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