Fillable Printable Dunkin' Donuts New Standard Application Form
Fillable Printable Dunkin' Donuts New Standard Application Form
Dunkin' Donuts New Standard Application Form
Name (Last) First (Middle) Date
/ /
Home Address City State Zip
Home Telephone Cellular Phone Business Phone May we contact you at work?
( ) ( ) ( ) Yes No
E-mail
Position Applying For Date Available Are you interested in (check all that apply)
Days and hours available. Complete if applying for restaurant position.
Day
From
To
Mon Tues Wed Thurs Fri Sat Sun
How were you 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
Full-time Part-time Temporary Summer
Type of School
High School
College
Graduate School
Other
Name and Location of School
Number of
Years Aended
Graduated
(Check One)
Degree/Area
of Study
Name Address
City
State Zip
Name Address
City
State Zip
Name Address
City
State Zip
Name
City
Address
State
Zip
Yes
Yes
Yes
Yes
No
No
No
No
Branch of Service Technical Specialization Rank Aained
Are you legally authorized to work in the United States?
Were you ever discharged by any company?
Reason for discharge
(Identity and employment eligibility of all new hires will be verified as required by the
Immigration Reform and Control Acts of 1986.)
If yes, give name of company(ies)
Yes
No
Yes
No
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 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 conviction)?
Federal, State, and local laws prohibit discrimination based on race, color, sex, religion, affectional or sexual orientation, national origin, ancestry, age, physical 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.
(A conviction will not necessarily disqualify an applicant from employment.)
(CONTINUED ON BACK)
PERSONAL INFORMATION
EDUCATION
U.S. MILITARY SERVICE
LEGAL
NAME OF EMPLOYER:
EMPLOYMENT APPLICATION
If yes, please explain
offense and final disposition:
Yes
No
List employment starting with your most recent position. You may include a description of verified work performed on a volunteer basis.
Is any additional information relative to a different name necessary to check your work record?
If yes, explain.
Yes No
DATES NAME AND ADDRESS
OF EMPLOYER
POSITION HELD
AND SUPERVISOR
SALARY OR
WAGES
REASON
FOR LEAVING
Name
Address
City & State Phone
( )
Name
Address
City & State Phone
( )
Name
Address
City & State Phone
( )
Name
Address
City & State Phone
( )
LIST MAJOR
DUTIES
From:
From:
From:
From:
mo.
mo.
mo.
mo.
mo.
mo.
mo.
mo. yr.
yr.
yr.
yr.
yr.
yr.
yr.
yr.
To:
To:
To:
To:
Your Job Title
Supervisor
Your Job Title
Supervisor
Your Job Title
Supervisor
Your Job Title
Supervisor Final
Starting
Starting
Final
Starting
Final
Starting
Final
Have you previously worked for Dunkin’ Donuts or any of its subsidiaries or Franchisees?
Yes No
Name
City & State
Supervisor
Reason for Leaving
Location
Position Held
Dates Employed From: To:
REFERENCES
Business references: (do not list relatives)
Name Address Work Phone No.
FA 0509
Title Years Known
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result 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 afliates. If hired the Franchisee
will be my only employer. Franchisees are independent business people who set their own wage and benet programs that can vary among Franchisees.
APPLICANT’S SIGNATURE DATE SIGNED
PLEASE READ CAREFULLY
EMPLOYMENT HISTORY
