Employment Application
Personal Information

Are you 18 or older?

If under 18 years of age, please state your age:

(if you are under 18, you may be required to furnish a work permit prior to working)

Are you legally Authorized to work in the U.S. without limitation?

CabbyShack prohibits smoking during service on or around the premises.   Are you willing to comply?

Employment Desired

Are available to work weekends?

Are available to work holidays?

Are you willing to stay late in an emergency?

How many hours a week do you expect to work?

SHIFT FOR MONDAY

TO

SHIFT FOR TUESDAY

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SHIFT FOR WEDNESDAY

TO

SHIFT FOR THURSDAY

TO

SHIFT FOR FRIDAY

TO

SHIFT FOR SATURDAY

TO

SHIFT FOR SUNDAY

TO

Educational History

Name & Location Of School

# of Years Attended

Last Year Attended

Did you Graduate?

Subjects Studied

Former Employers

Are you Servsafe Certified?

If Yes, Certification Date

Certification Expiry Date

Are you TIPS Certified?

If Yes, Certification Date

Certification Expiry Date

Please rate yourself on a scale of 1-10 in the following areas  ( 1=Lowest and 10=Highest )

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information

I also understand and agree that no representative of the company has an authority to enter into any agreement for the employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by authorized company representative.

This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

Your content has been submitted

Date: Month & Year

Name & Address of Employer

Salary

Position

Reason for Leaving