Fillable Printable Five Guys Application Form

Five Guys Application Form

PERSONAL INFORMATION: (please print clearly)

FAX TO: (949)360-9555

FOR OFFICE USE ONLY

EMP. NO

Working Paper #

FIVE GUYS

APPLICATION FOR EMPLOYMENT

NAME

Last First Middle

TELEPHONE ( ) ALT. TELEPHONE ( )

AREA CODE AREA CODE

ADDRESS CITY STATE ZIP/POSTAL CODE

SOCIAL SECURITY NO..

In Case of Emergency Notify:

NAME

TELEPHONE ( )

Last First Middle AREA CODE

ADDRESS CITY STATE ZIP/POSTAL CODE

AVAILABILITY:

Are you legally able to be employed in the: (circle one that applies) USA CANADA AUSTRALIA

After employed, can you furnish documentation proving the legal right to remain and work in the United States?

□ YES □ NO

What type of position are you seeking? (circle one that applies) Part Time Full Time

S M T W T F S

From

Hours

Available

Available Date to Start Work

SCHOOL MOST RECENTLY ATTENDED:

NAME ADDRESS

COUNSELOR

LAST GRADE COMPLETED GRADE AVERAGE

GRADUATED? YES NO NOW ENROLLED? YES NO

SPORTS OR ACTIVITIES?

MOST RECENT EMPLOYMENT: (Begin with your most recent or current employer)

Company Address Telephone

Position

Supervisor Dates Worked: From To

Wage

Reason for Leaving

Company Address Telephone

Position

Supervisor Dates Worked: From To

Wage

Reason for Leaving

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR? □ YES □ NO

IMPORTANT: Do not answer “Yes” to this question if: (1) the record for this conviction has been judicially ordered sealed, expunged, or statutorily

eradicated; or (2) the conviction relates to an offense for which you were referred to, and participated in, any pre-trial or post-trial diversion program; or (3) the

conviction relates to a misdemeanor for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed; or

(4) the conviction related to a marijuana-related misdemeanor that occurred more than two years ago.

If “Yes,” please complete this information:

Date:

County: State: Nature of Offense:

ARE YOU CURRENTLY AWAITING TRIAL FOR ANY CRIMINAL OFFENSE?

□ YES □ NO If “Yes,” please complete this information:

Date:

County: State: Nature of Offense:

A “YES” ANSWER DOES NOT AUTOMATICALLY DISQUALIFY AN APPLICANT FROM FURTHER CONSIDERATION FOR

EMPLOYMENT. PLEASE EXPLAIN ANY “YES” ANSWER FULLY SO THAT INDIVIDUAL CIRCUMSTANCES CAN BE CONSIDERED.

REFERENCES: (Please do not use family members)

Name: Telephone:

Do we have permission to contact your current employer? Yes No

If No, please explain:

PLEASE READ CAREFULLY BEFORE SIGNING!

I certify that the information given in this application is true and complete to the best of my knowledge and that I have not knowingly omitted any

information that may impact the employment decision. I understand that the information may be verified by the Company, and I hereby authorize investigation

of all statements contained in this application for employment, and I hereby release my present employer and past employers from all liability and damages

whatsoever arising from the release of any and all information regarding my employment. If I am employed, in consideration of my employment, I agree to

abide by all rules and policies of the Company, I also agree that the duration of my employment will not be for any specified term and may be terminated by me

at will or at will of the Company, with or without case, and with or without notice, at any time. I understand that only the President of the Company has the

authority to enter into an agreement for any specified period of time, or to make any agreement contrary to the foregoing, and then only if it is done in writing

and signed by the President and by me.

I understand that false or misleading information given in my application or interview(s) may result in my not being hired, or if hired, in my discharge from

employment.

I declare under penalty of perjury that all the foregoing is true and correct.

APPLICANT’S SIGNATURE

DATE: