Tidewater - Contact Us - Employment Application

* Denotes a required field

Personal Information

* First Name	Middle Name	*Last Name	Maiden Name
Present Address	City	State	Zip
How Long?	* Telephone	Email
Are you 18 years or older? Yes No (if you are under 18 you will be required to submit a birth certificate or work certificate as required by state or federal law.)
Position applied for (Be specific):
How many hours can you work weekly?
Can you work nights?
Employment desired: Full-Time Only Part-Time Only
When are you available to start work?
Do you have reliable transportation to and from work?

Education

Type of School	Name/Address of school	Select last year completed	Did you graduate?	Major & Degree
High School		9101112
College		1234
Other		1234
List any specialized training, experience, skills, qualifications and activities that you feel are job related:
Are you currently enrolled in school?
If so where are you enrolled?
HAVE YOU EVER BEEN CONVICTED OF A CRIME? Yes No
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
List any other states of residence for the past five (5) years:

Language

In the appropriate column write in the language you speak, read, and write:
	Speak	Read	Write
Fluent
Good
Fair

Work Experience

Please list your work experience for the past four years beginning with your most recent job held. If you were self-employed, give firm name.

Employer 1 Name of employer:
City	State	Zip	Phone
Your last job title:
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of last supervisor:
Employment dates from: To:
Pay or salary start: Final:
Reason for leaving:

Employer 2 Name of employer:
City	State	Zip	Phone
Your last job title:
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of last supervisor:
Employment dates from: To:
Pay or salary start: Final:
Reason for leaving:

May we contact your present employer? Yes No

Emergency contact person: Phone #

References

Name and Occupation	Address and Phone Number

APPLICANT'S STATEMENT
PLEASE READ CAREFULLY BEFORE SIGNING

I certify that any statements I have made are true and correct and that I have not withheld any information requested. I understand that any misrepresentation, falsification or material omission of information on this application may result in my failure to receive an offer of employment, or if hired, my dismissal from employment.

I authorize verification and investigating of the statements made on this application and of my employment history.

In consideration on my employment, I agree to the rules and standards of The Tidewater Catering Group, and understand that my employment and compensation can be terminated at will with or without cause, and with or without notice at any time, either by my option or at the option of The Tidewater Catering Group.

I understand that all offers of employment are based on the provision of satisfactory proof of my identity and legal authority to work in the U.S.A. Offers of employment are confidential on The Tidewater Catering Group receipt of satisfactory response to request.

If The Tidewater Catering Group employs me, my information may be used for any The Tidewater Catering Group printed materials or for advertising purposes without my prior consent.

* SIGNATURE OF APPLICANT

* DATE

The Tidewater Catering Group is an equal opportunity employer. The Tidewater Catering Group does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant?s consideration for employment on a basis prohibited by local, sate or federal law.