Employment Application

APPLICATION FOR EMPLOYMENT


I am seeking employment at the restaurant located in
a Burger King ®Franchise

PERSONAL
First Name:
Middle Initial:
Last Name:
Address:
Address:
City:
State:
Zip Code:
Social Security #: - -
E-mail:
Phone #: ( ) -
Age:
Date of Birth: / /
Is your citizenship or immigration status such that you can lawfully work in the U.S.? Yes No

EDUCATION
School Most Recently Attended
Name:
Location:
Phone #: ( ) -
Graduated? Yes No
If No, Last Grade Completed:
Now Enrolled Yes No
Grade Point Average:
Sports or Activites:




WORK EXPERIENCE 1
List Your Most Recent Job
Company:
Phone #: ( ) -
Position:
Dates Worked
From: / /
To: / /
Supervisor:
Reason for Leaving:


GENERAL
Date Available to Start:
/ /
Total Hours Available Per Week:
Mon from: to:
Tue from : to:
Wed from : to:
Thur from : to:
Fri from: to:
Sat from : to:
Sun from: to:
Do you have prior Burger King experience? Yes No
From: / /
To: / /
Location:
Have you ever been disciplined for absenteeism or tardiness by any previous employer? Yes No
Have you ever been discharged or asked to resign by any of your previous employers? Yes No
Within the past 5 years, have you ever been convicted, pled guilty or pled "no contest"(nolo contendere) to a felony or misdemeanor other than a traffic violation?(do not answer in New York or Massachusetts)? Yes No
I understand that I am seeking employment with a Franchisee (not Burger King Corporation), under the terms set forth herein. I certify and declare that all of the information I have provided is true and correct. I have read and understand the foregoing? Yes No

Go to Personal or Education or Work Experience or General section
© 2000 Burger King Corporation. All rights reserved.

Employer does not discriminate in employment because of race, color, sex, religion, national origin, age, disability, marital status, or liability for service in the armed forces of the United States.

Employment is dependent upon proof of citizenship, employment authorization, or presentation of an alien registration member.

In completing this application, I understand that it is very important that I be completely truthful, I realize that the Burger King franchise identified on this application ("franchise") is relying on my truthfulness. I agree that if it should be discovered that the information I am providing is inaccurate, misleading, or incomplete in any respect, I will be disqualified for employment or, if I have already been hired, my employment will be terminated immediately.

I understand and agree that if I should become employed by the Franchisee, I will have the right to terminate my employment at any time for any reason, or for no reason. I further agree that the Franchisee shall have the same right to terminate my employment. My employment at-will status cannot be modified unless such modification is set forth in writing in a document signed by both me and an officer or owner of the franchised. Employee handbooks, manuals, personnel policies and procedures are not employment contracts and do not modify my status as an at-will employee.

Equal Employment Opportunity Employer

Restaurant Operations
Crew Member

This application will be considered active for 30 days, for consideration after days you must reapply.