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About You
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Last Name:
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First Name:
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Telephone:
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Email:
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Address:
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City:
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State:
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Zip Code (5 digits):
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Social Security / Tax ID #:
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Have you worked for 5 Guys before, and if so, where?:
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Emergency contact name:
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Emergency contact phone:
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Emergency contact address (city, state, zip):
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Have you ever been convicted of a felony?
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No
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Working for Us
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| Can you lift 50 lbs. or more?: |
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Are you legally able to work in the U.S.?:
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Which store are you applying for:
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Sunday availability (which hours?):
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Monday availability (which hours?):
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Tuesday availability (which hours?):
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Wednesday availability (which hours?):
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Thursday availability (which hours?):
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Friday availability (which hours?):
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Saturday availability (which hours?):
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Education
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Most recent school - Name:
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Most recent school - Address:
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Counselor Name:
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Last grade completed:
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Grade Average:
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Graduated?
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Yes
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Now enrolled?
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Yes
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Sports / activities:
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Any military service?
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Yes
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If so, service and highest rank achieved:
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Employment History
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Latest employer:
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Latest employer - address:
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Latest employer - phone:
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Latest employer - position:
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Latest employer - supervisor:
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Latest employer - start date:
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Latest employer - end date (if any):
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Latest employer - wage:
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Latest employer - reason for leaving:
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Previous employer:
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Previous employer - address:
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Previous employer - telephone:
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Previous employer - position:
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Previous employer - supervisor:
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Previous employer - start date:
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Previous employer - end date:
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Previous employer - wage:
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Previous employer - reason for leaving:
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References
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Reference #1 - Name:
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Reference #1 - Phone number:
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Reference #1 - Relationship:
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Reference #1 - How long known:
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Reference #2 - Name:
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Reference #2 - Phone number:
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Reference #2 - Relationship:
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Reference #2 - How long known:
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I certify that the facts contained in this application and true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no 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, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.
Press "Submit" to enter your application, or "Reset" to begin again.
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