Fillable Printable Dunkin' Donuts Employment Application Form
Fillable Printable Dunkin' Donuts Employment Application Form
Dunkin' Donuts Employment Application Form
EMPLOYMENT APPLICATION
PERSONAL INFORMATION
DUNKIN’ DONUTS - CHATTANOOGA, TN
Home Address City State
Zip
Home Telephone
Cellular Phone
Business Phone May we contact you at work?E-mail
Yes No
Name (Last)
(First)
Date (mm/dd/year)(Middle)
Position Applying For
Date Available (mm/dd/year)
Full-time
Are you interested in (check all that apply)
Part-time
Temporary Summer
Days and hours available. Complete if applying for restaurant position. If you are available the same
hours everyday, enter the hours into Monday and clic k this box — Same All Days
Day Mon Tues Wed Thurs Fri Sat Sun
From
To
How were referred to us?
Are you willing to relocate?
Are you 18 years or older?
(no one under age 16 may
be hired)
Yes No
Yes No
EDUCATION
Type of
School Name and Location of School
Degree/Area
of Study
Number of
Years Attended Graduated
Yes No
High School
Name Address
City
State
Zip
College
Graduate
School
Other
Yes No
Name Address
City
State
Zip
Yes No
Name Address
City
State
Zip
Yes No
Name Address
City
State
Zip
U.S. MILITARY SERVICE
Branch of Service Technical Specialization Rank Attained
LEGAL
Are you legally authorized to work in the United States?
Yes No
(Identity and employment eligibility of all new hires will be verified as
required by the Immigration Reform and Control Acts of 1986.
Were you ever discharged by any company?
Yes No
If yes, give name of company(ies):
Reason for discharge:
Have you ever been convicted of or plead guilty to
(including a plea of nolo contendere)
a misdemeanor at any time within the past 5 years?
Yes No
If yes, please explain in full:
Have you ever been convicted of or plead guilty to
(including a plea of nolo contendere)
a felony (you are not obligated to disclose sealed,
erased or expunged records of conviction(s) or records of arrests or criminal charges which did not result in a con viction)?
Yes No
If yes, please explain of fense and final disposition:
CONTINUED ON PAGE 2
(A conviction will not necessarily disqualify an applicant from employment.)
Federal, State and local laws prohibit discrimination based on race, color, sex, religion, affectional or sexual orientation, national origin, ancestry, age, ph ysical or mental disability that does not affect
ability to perform essential job function(s) with or without reasonable accommodation, or any other protected status not listed in this statement. Your application will be considered in full accord with
applicable Federal, State, and local requirements.
PAGE 1 OF 3
n/a
List history star ting with your most recent position. You may include a description of verified work performed on a volunteer basis.
EMPLOYMENT HISTORY
Is any additional information relative to a dif ferent name necessary to check your work record?
Yes No
If yes, please explain in full:
From (mm/yr)
Phone
Address
City State Zip
DATES EMPLOYER
To (mm/yr)
Company Name
Your Job Title Supervisor
Star ting Salary
List Major Duties
Final Salary Reason for L eaving
CONTINUED ON PAGE 3
Have you previously worked for Dunkin’ Donuts or any of its subsidiaries or Franchisees?
Location
City State
Name
P osition Held
Supervisor Reason for L eaving
From (mm/yr)
To (mm/yr)
Yes No
PAGE 2 OF 3
From (mm/yr)
Phone
Address
City State Zip
To (mm/yr)
Company Name
Your Job Title Supervisor
Star ting Salary
List Major Duties
Final Salary Reason for L eaving
From (mm/yr)
Phone
Address
City State Zip
To (mm/yr)
Company Name
Your Job Title Supervisor
Star ting Salary
List Major Duties
Final Salary Reason for L eaving
From (mm/yr)
Phone
Address
City State Zip
To (mm/yr)
Company Name
Your Job Title Supervisor
Star ting Salary
List Major Duties
Final Salary Reason for L eaving
Business references (do not include relatives)
REFERENCES
Work phoneAddress
City
State Zip
Name
Title
Years known
PAGE 3 OF 3
In the event of employment, I understand that false or misleading information given in my application or interview(s) may resul t in immediate dismissal.
I understand, also, that I am required to abide by all rules and regulations of the Franchisee of Dunkin’ Donuts.
I understand and agree that if employed, employment will be “AT WILL”.. That is, either I or the employer may end the employment relationship at
any time, for any reason, or for no reason. I understand that receipt of this application does not imply employment and that this application and/or
any other documents are not contracts of employment.
I understand that I am applying for work with (one or more) Dunkin’ Donuts Franchisees, and not Dunkin’ Brands, Inc. or any of its affiliates. If hired
the Franchisee will be my only employer. Franchisees are independent business people who set their own wage and benefit programs that can
vary among Franchisees.
PLEASE READ CAREFULLY
Applicant’s Signature (if submit ting written form)
I do not understand or agree to these terms
APPLICATION FORM ENDS HERE
I understand and agree to these terms
Work phoneAddress
City
State Zip
Name
Title
Years known
Work phoneAddress
City
State Zip
Name
Title
Years known
