Name:

Email:

Phone Number(s):

Address:

City, State, Zip:

Previous Address:

City, State, Zip

Social Security Number:

Are you under the age of 21? Yes
No

Date of Birth

I am applying for a postion at: Beachside
Southside
Westside
Any Location

Position Applying For:

Date you can start:

Desired Pay:

I am applying for a Full-time or Part-time position: Full-time
Part-time

Have you ever been employed by Spanky's Before? If yes, where?

Dates employed and final position:

Reason for leaving:

Please list your previous experience beginning with your most recent position:

Job 1

Employer:

Address:

Phone and Email:

Supervisor's Name:

Dates employed and position(s):

Ending Pay:

Reason for Leaving:

Eligible for Re-hire? Yes
No

Job 2

Employer:

Address:

Phone and Email:

Supervisor's Name:

Dates employed and position(s):

Ending Pay:

Reason for Leaving:

Eligible for Re-hire? Yes
No

High School:

Address:

Level Completed:

. Graduated
Currently Enrolled

College:

Address:

Level Completed:

. Graduated
Currently Enrolled

Were you referred to Spanky's? If yes, by whom?

Have you ever been convicted of a felony? Conviction will not necessarily disqualify an applicant for employment. Yes
No

If yes, list details and dates:

Please list three references (not relatives):

(1) Name, Company and Position:

Address and Phone Number:

(2) Name, Company and Position:

Address and Phone Number:

(3) Name, Company and Position:

Address and Phone Number:

IMPORTANT AGREEMENT: PLEASE READ THE FOLLOWING AND SIGN YOUR NAME BELOW: In compliance with State and Federal Equal Employment Opportunity laws, qualified applicants are considered without regard to race, color, religion, sex, national origin, age,veteran’s status, disability, or any other legally protected status. I certify that answers given herein are true and complete to the best of my knowledge. In the event of my employment, I understand that false or misleading information given in my application or interview(s) may result in discharge and that my first three months of employment will be probationary. In consideration of employment, I agree to conform to the rules and regulations of the company. I acknowledge and understand that (1) no policy, rule, regulation, guideline, manual, position guide, newsletter, poster, procedure, or similar writing constitutes a guarantee of employment or contract of employment with the company, (2) my employment and compensation can be terminated at any time, for any reason or for no reason, by the company or by me, and (3) no manager or official of the company) other than the CEO or President in writing) has the authority to enter into any contract or agreement with me for employment for any specified period of time, or to make any contract or agreement contrary to the foregoing. I understand that unless otherwise prohibited by applicable law, I may be required to submit to physical, urinalysis, or other examination as a condition of my employment with the company, all at company expense. I authorize you to make such investigations and inquiries of my personal, employment or financial history and other related matters as may be necessary in arriving at and employment decision. I hereby release employers, schools and persons from all liability in responding to inquiries in connection with my application. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. I have read and agree.
I do not agree, do not consider my application.

Under the Electronic Signatures in Global and National Commerce Act, The Company, with y our consent, may choose to create and maintain certain employment related documents in electronic form, including the use of electronic signatures. Your consent, if granted, would apply to any employment related document that the company chooses to maintain in electronic form. You may withdraw your consent at any time by providing written consent to the Director of Human Resource Support Services. You may also request, at no charge, paper copies of electronic documents that have been created with your consent by providing written notification to the Director of Human Resources Sign below only if you are consenting to the use of electronic employment related documents with the company. I have read and agree.
I do not agree, do not consider my application.

Signature of Applicant:

Date:

Your application will be considered for 90 days. After that time, if you continue to have interest in employment, you should submit another application. Spanky’s Southside, Beachside and Westside are EQUAL EMPLOYMENT OPPORTUNITY EMPLOYERS.

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