PERSONAL INFORMATION Name * First Name Last Name Birthdate * Are you under 18? * Yes No Email Address * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone number * (###) ### #### EMPLOYEMENT INFORMATION Position for which you are applying * Team Member/ Server Shift Lead Assistant Manager Store Manager Prep Cook (Hershey , Linglestown, Mechanicsburg) Line Wok Cook (Hershey, Linglestown,Mechanicsburg) Sous Chef / Kitchen Manager (Hershey, Linglestown,Mechanicsburg, Linglestown) Executive chef (Linglestown) Social Media Videographer/Editor Business Administrator/ Recruiter Bartender (Linglestown) General Manager Employment desired Full Time Part Time Location * Downtown Harrisburg PA Hershey PA Hershey PA (Freshido Kitchen) Mechanicsburg PA Linglestown PA Availability * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Transportation * Do you have reliable transportation of getting to work? Please state your availability time from each day you checked(ex.10am-2pm) * 1a. If offered a position, when can you report for work? * 1b. Desired wage/Salary$ * 2.Are you legal to work in the U.S.? * Yes No 3.Have you ever been dismissed, or asked to resign from any position? * Yes No 4.Have you ever been convicted of a felony, or a misdemeanor which resulted in imprisonment? * A yes answer to the above question does not necessarily disqualify an applicant from employment. Yes No If yes to question 3 or 4, please explain. * Are you employed at the present time? * Yes No Previous employment information 1 Most recent first Employer / Job title / Prior position held within company Address / phone number Dates employed / Starting salary-ending salary Job title / duties performed Reason for leaving Previous employment information 2 Employer / Job title / Prior position held within company Address / phone number Dates employed / Starting salary-ending salary Job title / duties performed Reason for leaving Previous employment information 3 Employer / Job title / Prior position held within company Address / phone number Dates employed / Starting salary-ending salary Job title / duties performed Reason for leaving Education Please LIST ALL THE SCHOOLS ATTENDED AND ANY OTHER PERTINENT INFORMATION ABOUT YOUR EDUCATION School Name/Location/Years Attended/Degree/Major * 1 2 3 ACKNOWLEDGMENT AND AUTHORIZATION * I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not application are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an ''at will'' nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that i am required to abide by all rules and regulations of the employer. * Thank you!