Application for employment "*" indicates required fields PERSONAL INFORMATIONNAME (FIRST & LAST)*PHONE #*ADDRESS, CITY, STATE, ZIPEMAIL* ARE YOU 16 OR OLDER? (Labor Laws) Yes No ARE YOU 18 OR OLDER? (Alcohol Serving Laws) Yes No REFERRED BYEMPLOYMENT DESIRED*POSITION*DATE YOU CAN START* MM slash DD slash YYYY SALARY DESIRED HOURLY*EVER APPLIED TO THIS COMPANY BEFORE?* Yes No WHICH LOCATION?*WHEN* MM slash DD slash YYYY SHIFT AVAILABILITY: PLEASE INDICATE ANY DAYS/EVENINGS YOU WOULD NOT BE AVAILABLE TO WORK*EDUCATIONHIGH SCHOOLLOCATIONDID YOU GRADUATE? Yes No SUBJECTS STUDIEDSubject separated by commaCOLLEGELOCATIONDID YOU GRADUATE? Yes No SUBJECTS STUDIEDSubject separated by commaOTHERLOCATIONDID YOU GRADUATE? Yes No SUBJECTS STUDIEDSubject separated by commaSUBJECTS OF SPECIAL STUDY/RESEARCH WORK OR SPECIAL TRAINING/SKILLSSubject separated by commaOTHERARE YOU A CITIZEN OF THE UNITED STATES? Yes No HAVE YOU EVER BEEN CONVICTED OF A FELONY? Yes No DO YOU HAVE ANY DISABILITY THAT WOULD PREVENT YOU FROM PERFORMING YOUR JOB? Yes No ARE YOU OR HAVE YOU BEEN IN THE US MILITARY/NAVAL SERVICE? Yes No FORMER EMPLOYERSLIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRSTFromToNAME & PHONE # OF EMPLOYERSALARYPOSITION(S)REASON FOR LEAVING Add RemoveARE YOU CURRENTLY EMPLOYED? Yes No IF SO, MAY WE CONTACT YOUR PRESENT EMPLOYER? Yes No REFERENCESNAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST TWO YEARSNAMEPHONE # (_ _ _)YEARS KNOWN Add Remove AUTHORIZATION I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that if I am employed, any falsified statements on this application shall be grounds for dismissal. I authorize the investigation of all statements contained herein, and I authorize the references and employers listed above to provide any and all information concerning my previous employment and any other pertinent information they may have, whether personal or otherwise. I also release the company from all liability for any damage that may result from the use of such information. I further understand and agree that no representative of the company has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company agent. Date MM slash DD slash YYYY SIGNATUREAccepted file types: png, jpg, Max. file size: 1 MB. RETURN YOUR COMPLETED & SIGNED APPLICATION TO THE STORE (660 Walnut Ridge Dr. Suite #110, Irving, TX 75038) OR EMAIL TO IrvingTX@pokemoto.com This job requires handling of raw meats, shellfish & other food allergens.