Application for Employment

Barbacoa is an Equal Opportunity Employer and complies with the law regarding reasonable accommodation for disabled persons. Applicants requiring reasonable accommodation in order to participate in the interview process are asked to contact managemetn in advance to arrange such accomodation.

About Yourself

First Name:
M.I.
     Last Name: 
Street Address:
City:
State:
     Zip: 
Phone:
 
Cell/pager:
 
Alternate:
 
E-mail:
   Are you old enough to legally serve alcohol in this state?
   If you are under 18, can you submit a work permit if it is required?
   Can you provide verification of your legal right to work in the United States?
   Do you speak any foreign languages fluently?
   Have you been convicted of a crime in the last seven years? If yes describe briefly:
   Have you ever worked for our company before? If yes, state where and when:
Location:    Dates:
   Do you have training/skills, certifications or licenses that make you uniquely qualified?

How did you hear about this job?



 
 
 
 
 


Schedule



Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

About your Education

School Name and Address Year Completed (1-4) Did you graduate?
High School   
College   
Other   
Any other education, civic, extra-curricular and/or volunteer activites you would like to tell us about?

Employment History

Begin with most current or most recent employer.
   May we contact your current employer?
Employed From:
   To: 
Position:
Company:
Supervisor:
Street Address:
City:
Phone:
State:
Job Duties:
Reason for leaving:
 Pay:
Employed From:
   To: 
Position:
Company:
Supervisor:
Street Address:
City:
Phone:
State:
Job Duties:
Reason for leaving:
 Pay:
Employed From:
   To: 
Position:
Company:
Supervisor:
Street Address:
City:
Phone:
State:
Job Duties:
Reason for leaving:
 Pay:

References

Name Address Phone Relationship Years Known

Please Read Carefully:

By clicking the Submit Application button below, you agree to the following... I acknowledge that in connection with my application for employment, I have been advised in writing that an investigative consumer report may be made. I hereby authorize personnel, schools, companies, corporations, credit bureaus, and law enforcement agencies to supply any and all information concerning my qualifications for the position applied, and release the same from any liability resulting from providing such information. I hereby certify that all the statements and answers set forth on this application are true, and I understand that if, subsequent to employment, any of such statements or answers are found false or if information has been omitted, it will be grounds for immediate termination. I understand and agree that at all times my employment is merely at the will of the Company; and that regardless of how long I may be employed by the Company, I still may be disciplined, laid-off, or dismissed at any time with or without cause, and with or without notice.