An Application For Employment

APPLICATION FOR EMPLOYMENT
AN EQUAL OPPORT UNIT Y EMPL OYER
In o rder for yo u to be co nsidered for emplo ymen t, this application must be filled out in its ENTIRETY.
All sta te ments made by applican ts fo r e mploymen t on this a pplication form will be checked for a ccura cy.
Name (Print in Ink)

Today’s Date

Current Address
Previous Address

E-mail address

Social Security Number

Work Phone No

Alternate Phone No

Position(s) applying for (Must check specific position listed to be considered)

Home Phone No

Cellular Phone No

□ Server □ Host □ Bartender □ Busser □ Baker
□ Line Cook □ Production □ Utility □ Alley Coordinator
Are you over the age of 18? □ Yes □ No

Did someone refer you to apply for this position?
If yes, who?

□

□ Yes □ No

Date you are available to start employment How many hours per week do you expect to work?

Relatives Employed by Darden: Name:

□

Do you have the legal right to work in the United States?
Yes
No
It is the policy of this employer to hire only United States Citizens or individuals authorized to work in the United States. All employees must verify employment eligibility prior to beginning work.
Expected Hourly Rate
Expected Weekly Earnings

If you are applying for a server or bartender position, do you meet the legal state age requirement to serve alcohol?

□ Yes □ No

Location:

Relationship:

(Relatives employed by Darden will not necessarily exclude you from employment but will be considered for job placement to avoid a direct supervisory relationship between relatives)

Work Schedule Ava ilab ility
What shifts/hours are you a vailable to work? Shi fts sta rt as early as 7 AM a nd end as late as 2AM (please list start & end time s in each Lun ch & Dinne r shi ft box)
Shift
MON
TUES
WED
T HUR
F RI
SAT
SUN
L u n ch

to

to

to

Dinner

to

to

to

Are you w illing to work a split shift? □ Yes □ No
Are you w illing to work holidays / weekends? □ Yes □ No

Education

Name and location of school

High School
Co l l e g e

to

to

to

to

to

to

to

to

Are you w illing to stay late in an em ergency? □ Yes □ No
Is your schedule flexible so you can attend training? □ Yes □ No

Last year completed
9
1

10
2

Courses ma jored in

Graduate? List Degrees.
Diploma: □ Ye s □ No

11 12
3
4

Other

□ Y e s □ No

Have you been convicted of a felony, or been incarcerated in connection with a felony, in the past 10 years? (You do not have to disclose any convictions that have been annulled, expunged, erased, pardoned, or sealed by a court. Applicants in Massachusetts - Do not answer this question and see additional disclosures on back. Applicants in Connecticut and California, please see disclosures on back of application.) A conviction will not necessarily exclude you from employment.
If you answered “Yes,” please explain

Work History – List your last 3 jobs. Please fill out all information completely
Curren t or Most Re cen t Job

Previou s Job

Previou s Job

_______________ /___ ______ _______

_______________ /___ ______ _______

_______________ /___ ______ _______

Company Name
Company Address
Company Phone Number
Name and Title of Immediate
Supervisor
Job Title / Position
Dates of Employment

Month/Year

to

Month/Year

Month/Year

to

Month/Year

Month/Year

to

Month/Year

Reason for Leaving
May we contact this employer
Rate of Pay

□ Yes

□ No

□ Yes

□ No

□ Yes

□ No

$_____________

$_______ _____

$_____________

$_______ _____

$_____________

$_______ _____

Starting Wage

Ending Wage

Starting Wage

Ending Wage

Starting Wage

Ending Wage

MILITARY EXPERIENCE (If applicable)

Skills Acquired

VOLUNTEER EXPERIENCE, List Activities & Skills Acquired: (Exclude activities relating to race, religion, color, ancestry, age, national origin, gender and

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