Cookout Application Form – Fill Out and Use This PDF

COOK OUT APPLICATION FOR EMPLOYMENT (COOKOUT is an EQUAL OPPORTUNITY EMPLOYER & does not discriminate in employment)

No uestio o this applicatio is used fo the pu pose of li iti g o e cha gi g a applica t’s co side atio fo e plo e t on a basis prohibited by local, state or federal law

TO BE FILLED OUT BY MANAGEMENT ONLY:

STORE:_____________________________________ RATE OF PAY:_____________________________

GENERAL:

NAME: (FIRST) _______________________________________(M)___________________________(LAST)___________________________SOCIAL SECURITY_______________

ADDRESS: ___________________________________________________________________ CITY:_____________________________ STATE:________ZIPCODE:____________

PHONE #__________________________________ IF UNDER 18 AGE: __________ BIRTHDATE ______/______/______ MUST BE AT LEAST 16

POSITION APPLYING FOR: ____________________________ DATE AVAILABLE: ________________ HOW DID YOU HEAR ABOUT US?___________________________________

DAYS AVAILABLE: SUN___________ MON___________ TUE___________ WED___________ THURS___________ FRI____________ SAT____________

HOURS AVAILABLE: SUN___________ MON___________ TUE___________ WED___________ THURS___________ FRI____________ SAT____________

REASON FOR APPLYING FOR THIS PARTICULAR EMPLOYMENT:____________________________________________________________________________________________

RELATIVES OR FRIENDS EMPLOYED BY COOK OUT:

NAME:______________________________________________________ STORE:________________________ RELATIONSHIP:_________________________________

NAME:______________________________________________________ STORE:________________________ RELATIONSHIP:_________________________________

IN CASE OF AN EMERGENCY LIST A CONTACT PERSON:

NAME:_____________________________ ADDRESS:_______________________________________ CITY:__________________ PHONE #:_____________________________

NAME:_____________________________ ADDRESS:_______________________________________ CITY:__________________ PHONE #:_____________________________

LEGAL: A CRIMINAL REPORT IS ALWAYS REQUIRED BEFORE EMPLOYMENT. COST IS $25.00

HAVE YOU EVER BEEN CONVICTED OF A FELONY? IF YES, EXPLAIN:_________________________________________________________________________ NO____ YES____

______________________________________________________________________________________________________________________________________________

IN THE EVENT OF EMPLOYMENT:

1.YOU WILL BE REQUIRED TO COMPLETE AN I-9 FORM TO CONFIRM YOUR UNITED STATES CITIZENSHIP OR ALIEN STATUS WITH RIGHT TO WORK ELIGIBILITY.

2.A 16/17 YEAR OLD STUDENT THAT WILL WORK PAST 11:00PM WILL SUBMIT PROPER PERMISSION FROM THE SCHOOL/PARENTS.

EMPLOYMENT HISTORY: (MOST RECENT FIRST)

EMPLOYER:______________________________ PHONE #________________________ SUPERVISOR:________________________ TITLE:________________________

ADDRESS:__________________________________ CITY: ________________ STATE: _________ ZIPCODE: ___________

YOUR POSITION:___________________________ MTHS/YRS EMPLOYED:________________ SALARY/WAGES:____________________

REASON FOR LEAVING:___________________________________________________________________________________________________________________________

EMPLOYER:______________________________ PHONE #________________________ SUPERVISOR:________________________ TITLE:________________________

ADDRESS:__________________________________ CITY: ________________ STATE: _________ ZIPCODE: ___________

YOUR POSITION:___________________________ MTHS/YRS EMPLOYED:________________ SALARY/WAGES:____________________

REASON FOR LEAVING:___________________________________________________________________________________________________________________________

EMPLOYER:______________________________ PHONE #________________________ SUPERVISOR:________________________ TITLE:________________________

ADDRESS:__________________________________ CITY: ________________ STATE: _________ ZIPCODE: ___________

YOUR POSITION:___________________________ MTHS/YRS EMPLOYED:________________ SALARY/WAGES:____________________

REASON FOR LEAVING:___________________________________________________________________________________________________________________________

HAVE YOU EVER WORKED FOR COOK OUT? IF YES, GIVE DETAILS: NO__________ YES____________

*IF YES, FINAL APPROVAL FOR RE-HIRE IS BY SUPERVISORY AND/OR OFFICE PERSONAL ONLY.

PLEASE READ CAREFULLY. I certify that all information in this application is true and complete and there are no misrepresentations. I authorize anyone possessing information regarding my previous employment, character, and/or criminal record to provide it to COOK OUT upon request. I hereby release COOK OUT from all liability whatsoever in furnishing and using said information.

If employment is obtained under this application (1) I agree not to receive any bonus/profit share if not longer employed at date of payout (2) I agree to conform to the rules of COOK OUT and to random drug screens when required. Furthermore, I understand and agree that if employed the employment will be “at will.” That is, COOK OUT may end the employment relationship at any time,

for any reason, or for no reason, and without notice. COOK OUT reserves the right to refuse payment of vacation if employee quits or is terminated before receiving earned vacation pay.