WE APPRECIATE YOUR INQUIRY INTO OUR ORGANIZATION AND ARE SINCERELY INTERESTED IN YOUR BACKGROUND AND QUALIFICATIONS. PLEASE ANSWER ALL QUESTIONS AS THOROUGHLY AS POSSIBLE SO WE MAY REVIEW THIS INFORMATION IN CONSIDERATION OF EMPLOYMENT WITHIN OUR ORGANIZATION. WE CONSIDER ALL APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, CREED, SEX, NATIONAL ORIGIN, AGE, PHYSICAL OR MENTAL DISABILITY, CITIZENSHIP, MARITAL STATUS, PREGNANCY, MILITARY OR VETERAN STATUS, SEXUAL ORIENTATION, GENDER, GENDER IDENTITY, GENDER EXPRESSION, ANCESTRY, MEDICAL CONDITION, GENETIC INFORMATION, GENETIC PREDISPOSITION TO A DISEASE, LAWFUL OFF- DUTY CONDUCT OR POLITICAL ACTIVITIES, OR ANY OTHER LEGALLY PROTECTED STATUS. WE ARE AN EQUAL OPPORTUNITY EMPLOYER.
Application For Employment Date*
MM slash DD slash YYYY

PERSONAL INFORMATION
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Cell*
Email*
Are you at least 18 years old?*
Are you at least 21 years old?*
Are you legally eligible for employment in the USA?*
Position Applying For*
Have you Worked for Gaetano’s or Bettolino Before?*
If Yes, Give Date
Do you have a current CA food handler’s card?*
How Were You Referred to Us?

Name of friend or family working for Gaetano's

ABOUT YOURSELF
Tell us a brief description about yourself*
Why do you want to work in a restaurant?*
Why do you think you would be a good fit for Bettolino Kitchen?*
What would your current co-workers say are your strengths and your weaknesses on the job?*

EDUCATION
Name and Location of High School*
Name and Location of College*
Are You Currently Enrolled in School?*
If So, Where?*
Are you bilingual?*
If Yes, Explain*

WORK HISTORY
List your last three employers, starting with the most recent
EMPLOYER 1
Employer Name*
Employer Address*
Street Address City State ZIP Code
Job Title*
Supervisor*
Phone*
Description of Work*
Start Date*
MM slash DD slash YYYY
Leaving Date*
MM slash DD slash YYYY
Reason for Leaving*
EMPLOYER 2
Employer Name*
Employer Address*
Street Address City State ZIP Code
Job Title*
Supervisor*
Phone*
Description of Work*
Start Date*
MM slash DD slash YYYY
Leaving Date*
MM slash DD slash YYYY
Reason for Leaving*
EMPLOYER 3
Employer Name*
Employer Address*
Street Address City State ZIP Code
Job Title*
Supervisor*
Phone*
Description of Work*
Start Date*
MM slash DD slash YYYY
Leaving Date*
MM slash DD slash YYYY
Reason for Leaving*

REFERENCES
Name*
Phone*
Name*
Phone*

“I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND COMPLETE. I UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.

I AUTHORIZE INVESTIGATION OF ALL MY STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU.

I GIVE AUTHORIZATION TO HAVE MY MOTOR VEHICLE RECORD (IF THE POSITION I AM APPLYING FOR REQUIRES DRIVING) CHECKED AND VERIFIED AND, IF HIRED, THEY MAY BE CHECKED PERIODICALLY THROUGHOUT MY EMPLOY- MENT. I VERIFY THE VEHICLE INFORMATION I GAVE IS COMPLETE AND ACCURATE. I UNDERSTAND THAT IF HIRED I MAY BE REQUIRED TO MAINTAIN VALID AUTO INSURANCE AND DRIVER’S LICENSE AS A CONDITION OF EMPLOYMENT. I AUTHORIZE THIS COMPANY OR ANY OF ITS AFFILIATES TO CHECK THESE RECORDS.

I UNDERSTAND THAT NOTHING CONTAINED IN THIS APPLICATION, OR CONVEYED DURING ANY INTERVIEW WHICH MAY BE GRANTED, IS INTENDED TO CREATE AN EMPLOYMENT CONTRACT.

I UNDERSTAND THAT FILLING OUT THIS FORM DOES NOT INDICATE THERE IS A POSITION OPEN AND DOES NOT OBLIGATE YOU TO HIRE ME.

I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS AT WILL WHICH MEANS IT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES OR SALARY, BE TERMI- NATED AT ANY TIME WITHOUT ANY PRIOR NOTICE.

I UNDERSTAND THAT ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON THE PRODUCTION OF THE PROPER DOCUMENTS FOR COMPLETION OF THE I-9 FORM.”
Date*
MM slash DD slash YYYY
Name*
First Last

By typing your name you agree to the statement above.

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