Application For Iga Form – Fill Out and Use

Hardee's Crew Member Application for Employment

PERSONAL INFORMATION

(Print) Full Name _________________________________________________________________________________________________________________

FirstMiddleLast

Address ________________________________________________________________________________________________________________________

Referral source (What prompted you to apply for this position?)_____________________________________________________________________________

_______________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

AVAILABILITY

Total hours available per week ____________________ Shift applied for __________________. Please indicate the times you are available for work each day.

FROM

TO

Are there any times you are not available to work? _______________________________________________________________________________________

Work schedules may vary from week to week and occasionally you may be asked to stay late, leave early, or come in on your day off. By accepting a position with the Company, you are acknowledging that you understand that schedules may change at anytime due to business needs.

Do you have a dependable way to get to work? ฀ Yes ฀ No

EDUCATION BACKGROUND

EMPLOYMENT HISTORY for the past 10 years

Start Date __________________________________________ Last Day Worked ____________________________________

Street Address ________________________________________________________ City _____________________ State/Zip ________________________

Starting job title/final job title ________________/______________ Immediate Supervisor and Title ________________________ May we contact?_________

Why did you leave? _______________________________________________________________________________________________________________

Summary of type of work performed / responsibilities ____________________________________________________________________________________

Street Address ________________________________________________________ City _____________________ State/Zip ________________________

Starting job title/final job title ________________/______________ Immediate Supervisor and Title ________________________ May we contact?_________

Why did you leave? _______________________________________________________________________________________________________________

Summary of type of work performed / responsibilities. ____________________________________________________________________________________

Employer _________________________________________________________________ Phone Number ( )__ __ __

Start Date _____________________________________________ Last Day Worked ________________________________

Street Address ________________________________________________________ City _____________________ State/Zip ________________________

Starting job title/final job title _________________/______________ Immediate Supervisor and Title ________________________ May we contact?________

Why did you leave? _______________________________________________________________________________________________________________

Summary of type of work performed / responsibilities. ____________________________________________________________________________________

Street Address ________________________________________________________ City _____________________ State/Zip ________________________

Starting job title/final job title _________________/______________ Immediate Supervisor and Title ________________________ May we contact?________

Why did you leave? _______________________________________________________________________________________________________________

Summary of type of work performed / responsibilities. ____________________________________________________________________________________

PLEASE EXPLAIN ANY GAPS OF UNEMPLOYMENT ___________________________________________________________________________________

_______________________________________________________________________________________________________________________________

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Fair Credit Reporting Act and Employment At Will Disclosure.

I understand I am applying for employment which can be terminated at will by either myself or The Company at any time and that nothing contained in any manual, brochure, or other Company materials shall constitute an implied contract for employment or continued employment. I authorize the Employers and it’s Agents, listed above to provide The Company with any and all information concerning my previous employment and any pertinent information that they may have. Further, I release all parties and persons from any and all liabilities for any damages that may result from furnishing such information to The Company as well as from the use or disclosure of such information by The Company or any of its’ Agents, Employees or Representatives. I understand that false or incomplete information in this application for employment is grounds for dismissal and forfeiture of all related benefits.

I certify that the information on this application is accurate and complete.

Signature____________________________________________________________________________________________________________________________________________________________

I understand that my employment with The Company is at will and cannot/will not be changed. The Company has the sole and absolute discretion to reduce the hours, change my shift, rate of pay, amend, supplement or rescind any policy, practice or benefit provided or end my employment at anytime.

Signature____________________________________________________________________________________________________________________________________________________________