PERSONAL INFORMATION

FIRST NAME *

MIDDLE NAME *

LAST NAME *

STREET ADDRESS *

CITY *

ZIP *

CONTACT NUMBER *

START DATE *

ARE YOU AT LEAST 18 YEARS OF AGE? *

YES

YOU ARE APPLYING TO WORK... *

PART TIME

FULL TIME

TEMPORARY

HAVE YOU EVER WORKED FOR VAI'S OR ANY SISTER RESTAURANTS BEFORE? *

YES

HAVE YOU EVER BEEN DISCHARGED FROM A JOB BEFORE? *

YES

CAN YOU SUBMIT VERIFICATION OF YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES *

YES

AVAILABILITY

HOW MANY SHIFTS WOULD YOU LIKE TO WORK EACH WEEK? *

HOW MANY HOURS WOULD YOU LIKE TO WORK EACH WEEK? *

I CAN WORK TUESDAY DURING THE DAY *

YES

I CAN WORK TUESDAY AT NIGHT *

YES

I CAN WORK WEDNESDAY DURING THE DAY *

YES

I CAN WORK WEDNESDAY AT NIGHT *

YES

I CAN WORK THURSDAY DURING THE DAY *

YES

I CAN WORK THURSDAY AT NIGHT *

YES

I CAN WORK FRIDAY DURING THE DAY *

YES

I CAN WORK FRIDAY AT NIGHT *

YES

I CAN WORK SATURDAY DURING THE DAY *

YES

I CAN WORK SATURDAY AT NIGHT *

YES

I CAN WORK SUNDAY DURING THE DAY *

YES

I CAN WORK SUNDAY AT NIGHT *

YES

I AM ABLE TO WORK WEEKENDS *

YES

I AM ABLE TO WORK HOLIDAYS *

YES

ARE THERE ANY SPECIFIC TIMES OR DAYS IN WHICH YOU OBJECT TO WORKING THAT VAI'S NEEDS TO BE AWARE OF? *

YES

IF YES, EXPLAIN:

DO YOU HAVE ANY SPECIAL SCHEDULE REQUESTS THAT MAY CONFLICT WITH YOUR AVAILABILITY? FOR EXAMPLE: VACATION, SCHOOL, RESERVE DUTY, HOLIDAYS, ETC *

YES

IF YES, EXPLAIN:

ARE YOU EMPLOYED RIGHT NOW? *

YES

IF YES, WHAT IS THE LENGTH IN TIME REQUIRED FOR YOUR NOTICE?

A TRAINING SCHEDULE WILL REQUIRE YOU TO WORK BOTH NIGHTS AND DAYS CONSECUTIVELY. ARRANGEMENTS WILL NEED TO BE MADE IF YOU HAVE OTHER OBLIGATIONS DURING TRAINING. ARE YOU WILLING TO RESCHEDULE SO THAT YOU MAY COMPLETE TRAINING? *

YES

EMERGENCY CONTACT

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT RELATIONSHIP *

EMERGENCY CONTACT ADDRESS *

EMERGENCY CONTACT PHONE NUMBER

EDUCATION

DID/DO YOU GO TO HIGH SCHOOL? *

YES

IF YES, WHAT SCHOOL DID/DO YOU ATTEND?

YEARS COMPLETED *

FRESHMAN

SOPHOMORE

JUNIOR

SENIOR

DID/DO YOU GO TO TRADE SCHOOL? *

YES

IF YES, WHAT SCHOOL DID/DO YOU ATTEND?

YEARS COMPLETED

DID/DO YOU GO TO COLLEGE? *

YES

IF YES, WHAT SCHOOL DID/DO YOU ATTEND?

YEARS COMPLETED

DID/DO YOU GO TO POST GRADUATE SCHOOL? *

YES

IF YES, WHAT SCHOOL DID/DO YOU ATTEND?

YEARS COMPLETED

EMPLOYMENT HISTORY

PLEASE ATTACH YOUR RESUME HERE. IF YOU DO NOT HAVE A RESUME, PLEASE FILL IN AS MUCH OF YOUR EMPLOYMENT HISTORY AS POSSIBLE IN THE FIELDS BELOW:

Choose File

CURRENT JOB COMPANY NAME:

CURRENT JOB ADDRESS:

CURRENT JOB PHONE NUMBER:

CURRENT JOB START DATE:

CURRENT JOB POSITION:

CURRENT JOB DUTIES:

CURRENT JOB SUPERVISOR NAME:

CAN WE CONTACT?

YES

CURRENT JOB AVERAGE HOURS WORKED PER WEEK:

WERE YOU RESPONSIBLE FOR HANDLING CASH?

YES

REASON FOR LEAVING:

PREVIOUS JOB COMPANY NAME:

PREVIOUS JOB ADDRESS:

PREVIOUS JOB PHONE NUMBER:

PREVIOUS JOB START DATE:

PREVIOUS JOB POSITION:

PREVIOUS JOB DUTIES:

PREVIOUS JOB SUPERVISOR NAME:

CAN WE CONTACT?

YES

PREVIOUS JOB AVERAGE HOURS WORKED PER WEEK:

WERE YOU RESPONSIBLE FOR HANDLING CASH?

YES

REASON FOR LEAVING:

PREVIOUS JOB COMPANY NAME:

PREVIOUS JOB ADDRESS:

PREVIOUS JOB PHONE NUMBER:

PREVIOUS JOB START DATE:

PREVIOUS JOB POSITION:

PREVIOUS JOB DUTIES:

PREVIOUS JOB SUPERVISOR NAME:

CAN WE CONTACT?

YES

PREVIOUS JOB AVERAGE HOURS WORKED PER WEEK:

WERE YOU RESPONSIBLE FOR HANDLING CASH?

YES

REASON FOR LEAVING:

REFERENCES

REFERENCE #1 NAME

REFERENCE #1 PHONE NUMBER

REFERENCE #1 RELATIONSHIP

REFERENCE #2 NAME

REFERENCE #2 PHONE NUMBER

REFERENCE #2 RELATIONSHIP

If you are offered a position with VAI’S, we will require notification of any criminal history. Certain offenses could result in revocation of original offer.

I declare that I am qualified to perform all the duties of the position that I am seeking. I also declare that the information I have provided on this application is correct and that any false statements or omissions will justify my rejection or dismissal. I authorize VAI’S to contact any of my previous employers as well as any reference source to verify the facts and information that I have furnished regarding my qualifications and character. I authorize any person(s) having knowledge to provide such information in good faith. I authorize VAI’S and its agents to verify any information related to my application or resume. I also authorize individuals, schools, employees, and law enforcement or government officials to freely release any information concerning my background, and hereby release any and all of them from any liability for doing so. I will agree to a drug test, if permitted by law to be paid for by the company. If employed by VAI’S, I understand that I will be an employee at will and that my employment with Vai’s may be terminated at any time by myself or VAI’S for any reason whatsoever. Finally, I understand that this is only an application for employment and not an offer nor contract of employment. No part of this application shall be construed as an offer of employment or an employment contract. *

I AGREE

PERSONAL INFORMATION

AVAILABILITY

EMERGENCY CONTACT

EDUCATION

EMPLOYMENT HISTORY

REFERENCES

FROM THE CREATORS OF: