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Levy Restaurants Employment Application

Check all positions desired:
Check availability:
 
Personal
*Date:
Calendar
*Full Name:
*Address:
*City:
*State:
*Zip:
*Home Phone:
() -
*Cell Phone:
() -
*E-mail Address
Are you 16 years of age or older?
Are you 18 years of age or older?
Are you 21 years of age or older?
Have you ever been employed by Levy Restaurants in the past?
If yes, dates of employment:
Position:
 
Education
  High School College
*Select Highest Level Completed:
   
 
Skills
*Skills (Include any skills specific to the food industry, and any general skills such as computer proficiency or languages spoken):

 
Licenses or certificates:
 
Employment History
List current or previous employers:
*Employer:
*From:
Calendar
*To:
CalendarNow
*Job Title:
*Supervisor Name:
Reason for Leaving:
   
Employer:
From:
Calendar
To:
CalendarNow
Job Title:
Supervisor Name:
Reason for Leaving:
*May we contact current/previous employers?
   
General
*Do you have a legal right to work in the United States?
*Have you ever been convicted of a felony?
If yes, please explain and give city, state and date(s):
*I certify that the information on this application and any attachments are accurate and complete. I have not willingly withheld information and I understand that incomplete and inaccurate or false information will result in rejection or my application or termination of employment. Due to the nature of the business, it may be as many as 90 days after submitting your application before you are contacted.
*Security Code:
Is six < than five? (true/false)