J. R. CRICKETS EMPLOYMENT FORM PERSONAL INFORMATION Name * First Name Last Name Address * City * State * Zip Code * Date of Birth * Date Social Security Number * Phone Number * Please enter a valid phone number. Email Emergency Contact Name * Contact Number * Please enter a valid phone number. What is your Citizenship? * Are you authorized to work in the US? Please Select Yes No Do you have your own car? Please Select Yes No Have you ever plead “guilty” or “no contest” to or have been convicted of a crime? Please Select Yes No Criminal Record: Please Select Yes No Have you ever worked for J. R. Crickets? Please Select Yes No How were you referred to J. R. Crickets? * List any past or present employees you know * Do you smoke cigarettes? Please Select Yes No EDUCATIONAL INFORMATION High School Name * City * State * Years attended * Graduation Date * University or College Name * City * State * Years attended * Graduation Date * Other Education * Special Skills & Qualifications * REFERENCES Reference #1 Name: * Address * City * State * Telephone * Years Known * Relationship to you * Reference #2 Name: * Address * City * State * Telephone * Years Known * Relationship to you * PREVIOUS EMPLOYMENT Employer #1: * Address * City * State * Employment Start Date * Employment End Date * Still Employed There? Please Select Yes No May we contact this employer? Please Select Yes No Supervisor Name * Telephone * Reason for Leaving * Pay Rate Starting Rate * Pay Rate Ending Rate * Job Responsibilities * Employer #2: * Address * City * State * Employment Start Date * Employment End Date * Still Employed There? * Please Select Yes No May we contact this employer? * Please Select Yes No Supervisor Name * Telephone * Reason for Leaving * Pay Rate Starting * Pay Rate Ending * Job Responsibilities * Employer #3: * Address * City * State * Employment Start Date * Employment End Date * Still Employed There? * Please Select Yes No May we contact this employer? * Please Select Yes No Supervisor Name * Telephone * Reason for Leaving * Pay Rate Starting Rate * Pay Rate Ending Rate * Job Responsibilities * EMPLOYMENT DESIRED Which JR Crickets location, would you like to work? Please Select Original J.R. Crickets J.R. Crickets College Park 3529 J.R. Crickets College Park 5456 J.R. Crickets Cascade J.R. Crickets Lithonia J.R. Crickets Lovejoy J.R. Crickets Park Place- Downtown J.R. Crickets Union City J.R. Crickets South Cobb J.R. Crickets North Decatur J.R. Crickets Austell J.R. Crickets Fayetteville J.R. Crickets Northlake J.R. Crickets MLK- Westside J.R. Crickets McDonough J.R. Crickets Phillips Arena J.R. Crickets Lakewood J.R. Crickets Downtown J.R. Crickets Richmond VA Chamb J.R. Crickets VA 25th J.R. Crickets Newport News VA J.R. Crickets Columbus GA J.R. Crickets Norfolk 2nd JR Crickets location, would you like to work? Please Select Original J.R. Crickets J.R. Crickets College Park 3529 J.R. Crickets College Park 5456 J.R. Crickets Cascade J.R. Crickets Lithonia J.R. Crickets Lovejoy J.R. Crickets Park Place- Downtown J.R. Crickets Union City J.R. Crickets South Cobb J.R. Crickets North Decatur J.R. Crickets Austell J.R. Crickets Fayetteville J.R. Crickets Northlake J.R. Crickets MLK- Westside J.R. Crickets McDonough J.R. Crickets Phillips Arena J.R. Crickets Lakewood J.R. Crickets Downtown J.R. Crickets Richmond VA Chamb J.R. Crickets VA 25th J.R. Crickets Newport News VA J.R. Crickets Columbus GA J.R. Crickets Norfolk Date you can begin work * Salary Desired * How can you be of service to J. R. Crickets? * Employment position(s) desired (check all that apply) * Cook Wait Staff Counter Bar Other Hours Desired (check all that apply) * Full Time Part Time Days Nights List any time you cannot work or have regularly scheduled commitments: SEND RELEASE IMPORTANT: I hereby release employers, schools, or persons from liability in responding to inquiries in connection with my application. By submitting this application, I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial or medical history and other related matters as may be necessary for an employment decision. Now create your own Jotform - It's free! Create your own Jotform