Los Primos Mexican Food

Employment Opportunities

Personal Information

Name:

Present Address:

Phone:

Email:

Are you 18 years old or older

Yes No

Are you legally authorized to work in the U.S.?

Yes No

Desired Employment

Desired Position:

Cashier Cook

Salary Desired:

Seeking for:

Desired Hours:

Transportation

Education

Number of years completed:

Name of school:

Address of school:

Did you graduate?

Yes No

Former Employers

Name of company:

Starting date:

Leaving date:

Starting salary: $

Final salary: $

Name of supervisor:

Phone:

May we contact your supervisor?

Yes No

Reason for leaving:

Name of company:

Starting date:

Leaving date:

Starting salary: $

Final salary: $

Name of supervisor:

Phone:

May we contact your supervisor?

Yes No

Reason for leaving:

Name of company:

Starting date:

Leaving date:

Starting salary: $

Final salary: $

Name of supervisor:

Phone:

May we contact your supervisor?

Yes No

Reason for leaving:

References

Name

Phone

Relationship

Years Acquainted

1.
2.
3.
4.
5.

Have you ever been convicted, plead guilty/no contest to, or had a suspended imposition of sentence for any offense (other than a minor traffic violation)?

Yes No

If so, can you please explain?

This information will be used only for job-related purposes and only to the extent permitted by law.