Employment

Must be at least 17 years of age to apply

*REQUIRED

PERSONNAL INFORMATION

Your Name*(Last, First, Middle):
Date of Birth*:
Gender:  MALE FEMALE
Ethnicity:
Marital Status:
Email*:
Home Phone* :
Cell Phone:
Street Address*:
City, State, Zip*:
How long have you lived at your current address?
How long have you lived in the New Orleans area?
Are you a U.S. Citizen:  YES NO
What position are you applying for?
Can you work*:
 Anytime Days Evenings Weekdays Weekends
Are there days you cannot work?

Do you own an automobile?*  YES NO
Have you ever been convicted of a felony or misdemeanor, a violent crime, or a retail related crime (i.e. shoplifting, credit card fraud, theft, burglary)*?
 YES NO
If YES, please explain the nature of the crime(s) and the dates of convection(s):

You do not need to disclose any information regarding arrest, criminal charges and convictions that have been expunged, annulled, sealed, erased, dismissed or overturned from your record. NOTE: a conviction will not disqualify you from employment.

WORK HISTORY

Current or Most Recent Employer*:
Address* (include city, state):
Phone number*:
Name of Immediate Supervisor*:
Dates of employment*:
Position/Job Title:
What was your pay rate at your last job?*
Reason for leaving*:

May we contact this employer?*:  YES NO

EDUCATION HISTORY

High School:

College:

Trade School:

Other:

List any applicable special skill, training or proficiencies:

REFERENCES

Please list 3 references:

Reference 1___________
Name*:
Relationship*:
Phone Number*:
Address*:
Occupation*:

Reference 2____________
Name*:
Relationship*:
Phone Number*:
Address*:
Occupation*:

Reference 3___________
Name*:
Relationship*:
Phone Number*:
Address*:
Occupation*:

Why do you think you would be a good fit for Zuppardo's?

By clicking SEND, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records.

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