Employee | Shanes Seafood & BarBQ

Employment Application

"*" indicates required fields

Shane’s Seafood & BarBQ- Application for Employment

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status.

Which location are you applying for?*

Airline Drive

Barksdale Blvd

East Texas Street

Mansfield Road

North Market

Youree Drive

How did you find out about this job?

Position(s) applied for*

Why are you seeking a new job at this time?

Applicant Information

Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Social Security No.

Phone*

If hired, do you have a reliable means of transportation to get to work?*

Yes

Describe

Are you at least 18 years old?*

Yes

If you are under 18 years of age, can you furnish a work permit?

Yes

Driver’s License No.

State

Expiration Date

Are you legally eligible for employment in the U.S.?*

(Proof of U.S. citizenship or immigration status is required if hired.)

Yes

Have you been convicted of a crime?*

(NOTE: The existence of a criminal record does not constitute an automatic bar to employment.)

Yes

State the nature of the offense and disposition of the case. Include dates and places.*

(NOTE: The existence of a criminal record does not constitute an automatic bar to employment.)

Employment Information

Are you seeking full time, part time or temporary employment?*

Full time

Part time

Temporary

Other

What hours and shift(s) would you prefer to work?

List times you are not available to work:*

Are you willing to work overtime?*

Yes

Are you willing to work weekends?*

Yes

Are you willing to work holidays?*

Yes

Are you currently employed?*

Yes

If hired, when would you be able to start?*

Have you been unemployed or have you worked fewer than 40 hours in the last 60 days?*

Yes

Have you ever worked for Shane's Seafood before?*

Yes

If yes, name used:*

First Last

List any friends or relatives employed by Shane's Seafood

Have you ever been discharged or asked to resign from any position?*

Yes

If yes, please describe:*

If applicable, please refer to the attached job description for the position for which you are applying. Are you able to perform all these tasks with or without reasonable accommodation?*

Yes

Please describe which tasks, if any, you will need accommodation to perform, and explain what type of accommodation you will need:

Education

Highest Level Achieved*

Name of School:

Location of School:

If in high school, are you enrolled in a recognized co-op program?

Yes

If yes, identify program and school:

Degree & Major:

Minor:

Number of previous jobs*

Work History

(please begin with most recent)

Company*

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment: From

Dates of Employment: To

(Date you left previous job)

Salary (beginning)

Salary (end)

Job Title

Supervisor’s Name & Title

First Last Title

Describe duties briefly:

Specific reason for leaving:

Work History #2

Company*

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment: From

Dates of Employment: To

(Date you left previous job)

Salary (beginning)

Salary (end)

Job Title

Supervisor’s Name & Title

First Last Title

Describe duties briefly:

Specific reason for leaving:

Work History #3

Company*

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment: From

Dates of Employment: To

(Date you left previous job)

Salary (beginning)

Salary (end)

Job Title

Supervisor’s Name & Title

First Last Title

Describe duties briefly:

Specific reason for leaving:

Work History #4

Company*

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment: From

Dates of Employment: To

(Date you left previous job)

Salary (beginning)

Salary (end)

Job Title

Supervisor’s Name & Title

First Last Title

Describe duties briefly:

Specific reason for leaving:

For references purposes: Have you worked for any of these organizations or attended school under a different name?*

Yes

If yes, give name and organization(s)

May we contact the employers listed above?*

Yes

If not, list the employers you do not wish us to contact and why:

Authorizations & At-Will Employment Agreement*

I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification for my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired.
I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or dis-charge.
I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company.
Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer.
I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investiga-tive report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations.
I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician.
AT-WILL EMPLOYMENT AGREEMENT
I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an em-ployment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company’s President is authorized to change the employment-at-will status and such a change can only be done in writing.

I have read, understand, and agree to the above.

Signature