Posted 05/22/2020 18 Web Site Date of Application * How do you know about us? Social Media LinkedIn releviumrecruitment.com Indeed Flyer Friend / Family referral Job Fair Job Post at location Other Have you been previously interviewed by Relevium? * Yes No When? Job Post at location Personal Information Full Name * Email * Phone * Address City * State / Zip Code * Are you a citizen of the United States? * Yes No If no, are you authorized to work in the U.S.? * Yes No Have you ever been convicted of a felony? * Yes No If yes, explain Are you at least 18 years old? * Yes No Have you ever worked for this company? * Yes No If yes, when? Employment Desired Position applying for (check all that apply) Position applying for (check all that apply) Cahier Customer Service Sales Associate Receptionist Position applying for (check all that apply) Line cook Fast food Cook Pastry Chef Host Position applying for (check all that apply) Server Bartender Runner Barista Position applying for (check all that apply) Store Manager Restaurant Manager Store Assistant Manager Restaurant Assistant Manager Other position Desired salary (Hourly) Type of Employment Desired Part Time Full Time Seasonal Date available to work * Spoken languages * Days / Hours Available to work: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Education option1 High School College / University Business / Technical Additional References Please list two professional references. Full Name Company Address Relationship Phone Full Name Company Address Relationship Phone Work Experiences List your previous experience, beginning with your current or most recent position. Company Reason for Leaving * Address Job Position * Phone Starting Salary $ * Supervisor Ending Salary $ * From To Responsibilities May we contact your previous supervisor for a reference? * Yes No Company Reason for Leaving * Address Job Position * Phone Starting Salary $ * Supervisor Ending Salary $ * From To Responsibilities May we contact your previous supervisor for a reference? * Yes No Company Reason for Leaving * Address Job Position * Phone Starting Salary $ * Supervisor Ending Salary $ * From To Responsibilities May we contact your previous supervisor for a reference? * Yes No Military Service Have you served in the U.S. Military? * Yes No Rank Branch Skills/Duties Years of service Disclaimer and Signature No Guarantee Policy: Candidate acknowledges and agrees that despite Agency’s best efforts to place candidate with a client, there is no guarantee that employment will be obtained for candidate. Candidate understands that ultimate employment is solely based on the client’s decision. Relationship between both parties: Candidate understands and agrees that the Agency is not the Candidate’s employer. Candidate and/or the Clients shall define the manner of Candidate’s services and provide any equipment necessary. The nature of the Candidate/Agency relationship is as independent contractors and the Agency merely provides a service whereby Candidate might find work with Clients as a source of referrals. Candidate is free to accept or reject any work referred by the Agency. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I agree with the above statement. * Electronic Signature Date
