"No Great Egos, Only Great Food". - Dave Bongiovanni, Owner/Exec. Chef
Nonna’s Cucina
Employment Application
124 E. 8th St.
Georgetown, TX 78626
512/863-3442
www.nonnas.net
PLEASE COMPLETE ALL INFORMATION.
DATE _________________________________
Name _______________________________________________________________________________________________ Last First Middle Maiden
Present address _______________________________________________________________________________________ Number Street City State Zip
How long at present address__________ Social Security No. _______ – _____ – _________
Telephone ( ) Age__________. D.O.B._________________.
Position applied for ___________________________
Salary desired (Be specific)____________________
Days/hours available/willing to work
No Pref _______ Thu _________
Mon _________ Fri _________
Tue __________ Sat _________
Wed _________ Sun ________ How many hours can you work weekly? _________________________
Can you work nights and weekends? ____________
Employment desired FULL-TIME ONLY PART-TIME ONLY FULL- OR PART-TIME
When are you available for work?_________________________________________
_____________________________________________________________________________________________________ TYPE OF SCHOOL NAME OF SCHOOL LOCATION (Complete mailing address) NUMBER OF YEARS COMPLETED MAJOR & DEGREE High School College Bus. or Trade School Professional School
HAVE YOU EVER BEEN CONVICTED OF ANY CRIME? No Yes If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. ___________________________________________________ _____________________________________________________________________________________________________
PLEASE PRINT ALL INFORMATION REQUESTED APPLICATION FOR EMPLOYMENT DO YOU HAVE A DRIVER’S LICENSE? Yes No
Do you have transportation to work? _______________________________________________________________________
Driver’s license number ____________________________ State of issue _______
Operator Commercial (CDL) Chauffeur Expiration date ______________________
Have you had any accidents during the past three years? How many? ___________________
Have you had any moving violations during the past three years? _____________
How Many? ___________________
Restaurant Experience Yes / No Type__________________________________________________
Location_______________________ Restaurant Skills ____________________________________
__________________________________________________
Please list two references other than relatives or previous employers.
1.) Name _________________________________________
Position __________________________________________
Company _________________________________________
Address __________________________________________
Telephone ( )_______________________________________
2.) Name _________________________________________
Position __________________________________________
Company _________________________________________
Address __________________________________________
Telephone ( )_______________________________________
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
____________________________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
PLEASE PRINT ALL INFORMATION REQUESTED APPLICATION FOR EMPLOYMENT MILITARY HAVE YOU EVER BEEN IN THE ARMED FORCES? Yes No
ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? Yes No
Specialty ___________________________________
Date Entered _________________
Discharge Date _______________
Work Experience Please list any job related positions or your work experiences beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary.
Name of employer Address Name of last supervisor Employment dates Pay or salary City, State, Zip Code Phone number._______________________________________________________________________
Date: From-To ________________
Start Pay:$___________________Final Pay: $_________________
Your last job title Reason for leaving (be specific) ____________________________________________
List the jobs you held, duties performed, skills used or learned, advancements or promotions while at this company. __________________________________________________________________________
May we contact your present employer? Yes No
If not, why? __________________________________________________________________________________________
Did you complete this application yourself Yes No If not, who did and why? _________________________________________________________________________________
PLEASE READ CAREFULLY
APPLICATION FORM WAIVER
In exchange for the consideration of my job application by Nonna’s Cucina (hereinafter called “the Company”), I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Nonna’s Cucina, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and Nonna’s Cucina may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, Nonna’s Cucina, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I also understand that I will be required to sign a “Non-Disclosure/Non-Compete” form for proprietary and intellectual information. I also understand that I will be required to obtain a health license at the local health department at my own expense. Uniforms are required and I will be required to wear appropriate attire and shoes and purchase or provide the adequate uniform for my position. I further under-stand that my employment with the Company shall be probationary for a period of sixty (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.
I also understand that within a 3 week period of the start of my employment I will pay for and attend a health class presented by the Department of Health in Georgetown. I understand that the cost for this class is my personal responsibility to remain employed with Nonna’s Cucina.
Signature of applicant__________________________________________ Date: ___________________
Nonna’s Cucina is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.
Thank you for completing this application form and for your interest in our business and joining our team. Please mail or return by hand to the address located on the first page of this application.