Hourly Positions - The Smoke Shop BBQ

Applicant Information

Applicant Name *

First

Middle

Last

Today's Date *

Applicant Address *

Address Line 1

Address Line 2

City

State

Zip Code

Applicant Phone # *

Applicant Email *

Date Available to Start *

Desired Weekly Income (Range) $ *

Position Applying for *

Preferred Location *

Kendall Square - Cambridge
Harvard Square - Cambridge
Assembly Row - Somerville
Seaport - Boston

Are you authorized to work in the U.S.? *

YES
NO

Have you worked for this company before? *

YES
NO

Education

High School Name *

Did you graduate High School? *

YES
NO

College Name

If you did not attend college, you do not need to fill out this question

Did you graduate College?

YES
NO

If you did not attend college, you do not need to fill out this question

College Degree

If you did not attend college, you do not need to fill out this question

References

Please list three references, two are required

Reference 1: Full Name *

First

Last

Reference 1: Relationship *

How you know this reference (i.e., employee)

Reference 1: Company *

Reference 1: Phone # *

Reference 1: Email *

Reference 2: Full Name *

First

Last

Reference 2: Relationship *

How you know this reference (i.e., employee)

Reference 2: Company *

Reference 2: Phone # *

Reference 2: Email *

Reference 3: Full Name

First

Last

Reference 3: Relationship

How you know this reference (i.e., employee)

Reference 3: Company

Reference 3: Phone #

Reference 3: Email

Previous Employment

List most recent jobs, be sure to include any food industry positions.

Company 1: Name *

Company 1: Phone # *

Company 1: Supervisor Name *

First

Last

Company 1: Job Title *

Company 1: Start Date *

Company 1: End Date *

Company 1: Reason for Leaving *

Company 1: May we contact your previous supervisor for a reference? *

YES
NO

Company 2: Name

Company 2 Phone #

Company 2: Supervisor Name

First

Last

Company 2: Job Title

Company 2: Start Date

Company 2: End Date

Company 2: Reason for Leaving

Company 2: May we contact your previous supervisor for a reference?

YES
NO

Company 3: Name

Company 3: Phone #

Company 3: Supervisor Name

First

Last

Company 3: Job Title

Company 3: Start Date

Company 3: End Date

Company 3: Reason for Leaving

Company 3: May we contact your previous supervisor for a reference?

YES
NO

Additional Information

Is there anything else you'd like us to know about you? It's not required, but feel free to share!

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law is subject to criminal penalties and civil liabilities. I understand that If I become employed by the company, I will be an at-will employee. Accordingly, the employment relationship may be terminated, with or without cause, and with or without notice, at any time, at the option of either the company or me. I further understand that no supervisor, manager, or representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.

I certify that I have read and agree to the disclaimer above *

YES

Disclaimer Signature *

First

Middle

Last

Disclaimer Signature Date: Today's Date *