J.R. Crickets Online Application - Chicken is chicken, but the wing is the thing!

Apply for a job with J.R. Crickets:

Personal Information (*indicates required field)
Name*:
Street Address*:
City*:
State*:
Zip*:
Date of Birth*:
Social Security Number*:
Phone Number*:
Email*:
What is your citizenship?*
Are you authorized to work in the US?*	Yes No
How were you referred to J.R. Crickets?*
Have you ever worked for J.R. Crickets before?*	Yes No
List any past or present employees you know:	1. 2. 3.
Employment position(s) desired*:	Cook Wait Staff Counter / Bar Other:
Full Time Part Time	Days Nights
List any time you cannot work or have regularly scheduled commitments:
Have you ever plead "guilty" or "no contest" to or been convicted of a crime?* Yes No If yes, please give details:
Date that you can begin work*:
Salary desired*:
Emergency contact Name*:
Emergency contact Phone*:

Education
High School Name:
City:
State:
Years attended:
Graduation date:

College or University Name:
City:
State:
Years attended:
Graduation date:

Other Education
1.
2.
3.

Special Skills & Qualifications


References
Reference #1
Name:
Address:
City:
State:
Phone Number:
Years known:
Relationship to you:
Reference #2
Name:
Address:
City:
State:
Phone Number
Years known:
Relationship to you:

Previous Employment
Employer #1
Company Name:
Address:
City:
State:
Begin date:
End date:
Are you still employed there?	Yes No
May we contact this employer?	Yes No
Supervisor Name:
Phone Number:
Reason for leaving:
Starting pay rate:
Ending pay rate:
List job responsibilities:
Employer #2
Company Name:
Address:
City:
State:
Begin date:
End date:
Are you still employed there?	Yes No
May we contact this employer?	Yes No
Supervisor Name:
Phone Number:
Reason for leaving:
Starting pay rate:
Ending pay rate:
List job responsibilities:
Employer #3
Company Name:
Address:
City:
State:
Begin date:
End date:
Are you still employed there?	Yes No
May we contact this employer?	Yes No
Supervisor Name:
Phone Number:
Reason for leaving:
Starting pay rate:
Ending pay rate:
List job responsibilities:

How can you be of service to J.R. Crickets?

*Select the Location(s) you would like to apply to:**
Spring St	Tara Blvd.
Union City	Riverdale
Mableton	Old National
Cascade Rd.	Donald Lee Hollowell
South Cobb Dr.	Eagle, CO
Oak Ridge	Sandtown Crossing
Campcreek Market Place	Torrance Village
I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application. Important: Print, Sign and Date this page before clicking Submit below. Be sure to bring this signed page to your interview. Signature:________________________ Date:_______
By submitting this application, I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial or medical history and other related matters as may be necessary for an employment decision.