Bringing The Heat


              Alabama Wing House                  251-446-4000                             Fax: 251-446-1000

PLEASE PRINT CLEARLY


Date _________

First Name____________________                  Middle_______________                     Last___________________

Social Security Number: _______________

Street Address: _________________________________               City/St/Zip ________________________________

Phone: _______________________________       Position(s) applied for: ______________________________

If hired do have a reliable means of transportation? ______ Describe: _________________________

Are you at least 18 years old? ________ Are you legally eligible for employment in the US? _____________

(Proof of US citizenship or immigration status required if hired)

Have you ever been convicted of a crime? ______ If yes, state the nature of the case and disposition of the case.

Please include dates and location. _______________________________________________________________

(Note: The existence of a criminal record does not constitute an automatic bar to employment)

Are you seeking full or part time employment? _______ List times you are NOT available to work: ____________

 Are you willing to work overtime? Weekends? Holidays? __________, ____________, ____________

Are you currently employed? ____________                  If hired when could you start? _____________

Have you ever been discharged or asked to resign from any position? _____ IF yes describe: _________________

Elementary             Name of School: ______________   Level completed: ___________

High School             Name of School: ______________ Level Completed: ___________

GED                            Name of School: ______________ Level Completed: ___________

Work History: (please begin with most recent)

1)       Company ______________________________           Phone: ________________


Dates of Employment:          From ________ to _________            Job Title: _________________________

Supervisor’s Name and Title: _________________      Describe Duties Briefly: ___________________________

Specific reason for leaving: ____________________________________________________________________


 

 Please read the following carefully, then sign and date the application.

I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge.

I specifically authorize and direct my current and former employers to supply employment-related infor-mation to this company and do hereby release my current and former employers from liability for providing information to this company. 

Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer.

I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations.

I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician.

I further understand this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for an indefinite period of time and the company may change wages, benefits, and conditions at any time. My employment is at will. No individual with the company is authorized to change the employment-at-will status except an officer of the company, who may do so only in writing.  I have read, understand, and agree to the above.


Applicant’s Signature                                                                                                    Date   __________________________________

Check over the foregoing application to make sure it is complete and signed.-