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Date-picker1. Date (MM/DD/YYYY)* Is Required? Change date format Edit SettingsPlease select a date. Date Format Presets: mm/dd/yy yy-mm-dd d M, y d MM, y DD, d MM, yy Add Custom Format (To add text, enclose it in single quotes. For example: d MM 'of the year' yy) Save DividerHeading 32. CONTACT INFORMATIONText FieldFull Name* Is Required? Edit SettingsPlease enter a value.EmailEmail* Is Required? Edit SettingsPlease enter a valid email address.Phone NumberPhone Number* Is Required? Edit SettingsPlease enter a valid phone number.Text FieldAddress 1* Is Required? Edit SettingsPlease enter a value.Text FieldAddress 2 Is Required? Edit SettingsPlease enter a value.Text FieldState* Is Required? Edit SettingsPlease enter a value.Text FieldCity* Is Required? Edit SettingsPlease enter a value.Numbers OnlyZip Code* Is Required? Edit SettingsPlease enter a value containing only numbers/digits.123DividerHeading 33. AGERadio Button GroupAre you older than 18? Certain positions must meet age requirements for safe equipment use and / or legal service of alcohol.* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:StackIn LinePlease select one.YESNOYES NOList radio buttons in the textarea below one benief the other. For example:Radio button 1Radio button 2Radio button 3Save Radio ButtonsDate-pickerIf not, what is your birth date?* Is Required? Change date format Edit SettingsPlease select a date. Date Format Presets: mm/dd/yy yy-mm-dd d M, y d MM, y DD, d MM, yy Add Custom Format (To add text, enclose it in single quotes. For example: d MM 'of the year' yy) Save DividerHeading 34. POSITIONCheck Box GroupWhat position are you interested in applying for?* Is Required? Add/edit/remove check box's Edit SettingsButton layout:StackIn LinePlease check at least one.SERVERBARTENDERBAR BACKHOSTBUSSERKITCHEN STAFFMANAGERSERVER BARTENDER BAR BACK HOST BUSSER KITCHEN STAFF MANAGERList check box's in the textarea below one benief the other. For example:Check box 1Check box 2Check box 3Save Check Box'sDividerHeading 35. READINESSNumbers OnlyTotal hours you are available per week:* Is Required? Edit SettingsPlease enter a value containing only numbers/digits.123DividerHeading 36. LOCATIONCheck Box GroupAt which location(s) would you like to work:* Is Required? Add/edit/remove check box's Edit SettingsButton layout:StackIn LinePlease check at least one.ROME SHORTERROME RIVERSIDECATERSVILLEDALTONROME SHORTER ROME RIVERSIDE CATERSVILLE DALTONList check box's in the textarea below one benief the other. For example:Check box 1Check box 2Check box 3Save Check Box'sDividerHeading 37. MEDIAText AreaHow did you hear about this employment opportunity?* Is Required? Edit SettingsPlease enter a value.DividerHeading 38. TRANSPORTATIONRadio Button GroupDo you have reliable transportation?* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:StackIn LinePlease select one.YESNOYES NOList radio buttons in the textarea below one benief the other. For example:Radio button 1Radio button 2Radio button 3Save Radio ButtonsDividerHeading 39. TIMEText AreaWhat are your available hours?* Is Required? Edit SettingsPlease enter a value.DividerHeading 310. EDUCATIONText FieldSchool Name* Is Required? Edit SettingsPlease enter a value.Text FieldLast Grade Completed* Is Required? Edit SettingsPlease enter a value.Text FieldDid you graduate?* Is Required? Edit SettingsPlease enter a value.Text FieldCity / Town* Is Required? Edit SettingsPlease enter a value.Text FieldState* Is Required? Edit SettingsPlease enter a value.Numbers OnlyZip Code* Is Required? Edit SettingsPlease enter a value containing only numbers/digits.123Phone NumberPhone Number* Is Required? Edit SettingsPlease enter a valid phone number.DividerHeading 311. EMPLOYMENT HISTORYRadio Button GroupMay we contact your present employer?* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:StackIn LinePlease select one.YESNOYES NOList radio buttons in the textarea below one benief the other. For example:Radio button 1Radio button 2Radio button 3Save Radio ButtonsDividerHeading 312. PREVIOUS EMPLOYMENTText FieldCompany* Is Required? Edit SettingsPlease enter a value.Text FieldJob Title* Is Required? Edit SettingsPlease enter a value.Text FieldSupervisor* Is Required? Edit SettingsPlease enter a value.Text FieldDates Worked* Is Required? Edit SettingsPlease enter a value.Text FieldRate of Pay* Is Required? Edit SettingsPlease enter a value.Text FieldReason for Leaving* Is Required? Edit SettingsPlease enter a value.Phone NumberPhone Number* Is Required? Edit SettingsPlease enter a valid phone number.Text FieldAddress* Is Required? Edit SettingsPlease enter a value.Text FieldCity / Town* Is Required? Edit SettingsPlease enter a value.Text FieldState* Is Required? Edit SettingsPlease enter a value.Numbers OnlyZip Code* Is Required? Edit SettingsPlease enter a value containing only numbers/digits.123DividerHeading 313. EMPLOYMENT HISTORY GENERALText AreaPlease list other relevant experience or training or activities. (Exclude organizations that indicate race, religion, age, or national origin of members.) Is Required? Edit SettingsPlease enter a value.DividerHeading 314. MIGRATORY SITUATIONRadio Button GroupU.S. law requires that, if hired, you must furnish appropriate documentation establishing identity and employment eligibility, generally within 72 hours of starting work. For example, acceptable documents include: a U.S. passport, or INS Forms 688 or 688A; a Social Security Card or birth certificate issued by government authority and a driver’s license, school I.D. with photo or other government issued documentation establishing identity. Certain other documents are equally acceptable. Are you legally able to be employed in the U.S.?* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:StackIn LinePlease select one.YESNOYES NOList radio buttons in the textarea below one benief the other. For example:Radio button 1Radio button 2Radio button 3Save Radio ButtonsDividerHeading 315. LEGAL SITUATIONRadio Button GroupDURING THE PAST 5 YEARS, HAVE YOU EVER BEEN CONVICTED OF, PLED GUILTY TO OR PLED NO CONTEST TO A CRIME, EXCLUDING MISDEMEANORS AND TRAFFIC VIOLATIONS?* Is Required? Add/edit/remove radio buttons Edit SettingsButton layout:StackIn LinePlease select one.YESNOYES NOList radio buttons in the textarea below one benief the other. For example:Radio button 1Radio button 2Radio button 3Save Radio ButtonsText AreaIF YES, PLEASE DESCRIBE IN FULL* Is Required? Edit SettingsPlease enter a value.DividerText ParagraphIMPORTANT INFORMATION, READ BEFORE SUBMIT1. I certify that I have read this application and the information on it is complete and correct. I understand that any omissions or misrepresentation of information is grounds for dismissal.2. I authorize the persons, employers, schools and organizations listed on this application to give you any information concerning my employment and other pertinent information they may have, personal and otherwise, and release all parties from all liability and damages that may result from furnishing this to you.3. I acknowledge that the owners of Los Potrillos Taqueria reserves the right to amend or modify any of its handbooks or policies at any time and without prior notice. These policies do not create any promises or contractual rights between this employer and its employees. At this independently owned and operated Los Potrillos Taqueria , employment is at will. This means an employee is free to terminated his/her employment at any time, without any reason, with or without cause, and the owners retains these same rights. The owner of this independently owner and operated Los Potrillos Taqueria is the only person who may make an exception to this, and any exception must be in writing, addressed to a particular individual, and signed by the owner.4. This independently owned Los Potrillos Taqueria is an Equal Opportunity Employer. Various federal, state, and local laws prohibit discrimination on account of race, color, religion, sex, age, national origin, disability or veterans status, or other categories protected by law. It is this company’s policy to comply fully with these laws, as applicable, and information requested on this application will not be used for any purpose prohibited by law.5. I understand that as a part of the procedure for my employment application an investigative consumer report may be made concerning my character, general reputation, personal characteristics and made of living. Upon written request, additional disclosure concerning the complete nature and scope of the investigation will be provided. If I am denied a job based either wholly or in part because of information contained in an investigative consumer report, I will be provided the name and address of the reporting agency that supplies information.SubmitText Paragraph
List radio buttons in the textarea below one benief the other. For example:Radio button 1Radio button 2Radio button 3
List check box's in the textarea below one benief the other. For example:Check box 1Check box 2Check box 3
IMPORTANT INFORMATION, READ BEFORE SUBMIT1. I certify that I have read this application and the information on it is complete and correct. I understand that any omissions or misrepresentation of information is grounds for dismissal.2. I authorize the persons, employers, schools and organizations listed on this application to give you any information concerning my employment and other pertinent information they may have, personal and otherwise, and release all parties from all liability and damages that may result from furnishing this to you.3. I acknowledge that the owners of Los Potrillos Taqueria reserves the right to amend or modify any of its handbooks or policies at any time and without prior notice. These policies do not create any promises or contractual rights between this employer and its employees. At this independently owned and operated Los Potrillos Taqueria , employment is at will. This means an employee is free to terminated his/her employment at any time, without any reason, with or without cause, and the owners retains these same rights. The owner of this independently owner and operated Los Potrillos Taqueria is the only person who may make an exception to this, and any exception must be in writing, addressed to a particular individual, and signed by the owner.4. This independently owned Los Potrillos Taqueria is an Equal Opportunity Employer. Various federal, state, and local laws prohibit discrimination on account of race, color, religion, sex, age, national origin, disability or veterans status, or other categories protected by law. It is this company’s policy to comply fully with these laws, as applicable, and information requested on this application will not be used for any purpose prohibited by law.5. I understand that as a part of the procedure for my employment application an investigative consumer report may be made concerning my character, general reputation, personal characteristics and made of living. Upon written request, additional disclosure concerning the complete nature and scope of the investigation will be provided. If I am denied a job based either wholly or in part because of information contained in an investigative consumer report, I will be provided the name and address of the reporting agency that supplies information.
