Walton's Southern Table Job Application

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Emergency Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Relation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Education

High School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Did you graduate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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High School Degree Earned {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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College {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Did you graduate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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College Degree Earned {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Graduate School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Did you graduate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Graduate Degree Earned {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Other Training/School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Did you graduate? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Other Degree Earned {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Are you currently in school or college? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Position Applying For (Check All That Apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Date you are available to start {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Approximate number of hours per week you wish to work: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

We do not allow employees to smoke on the premises. Are you willing to comply? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you legally eligible for employment in the United States? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Day Shifts available {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Night Shifts available {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please describe a specific example of excellent customer service you've provided or seen: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Employment Experience (Starting With Most Recent)

Employer {binding ItemNumber}

Employer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Dates of Employment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Supervisor Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Job Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reason for Leaving {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

References (Non-Family)

Reference {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Years Known {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

During the past 5 years, have you been convicted of, pled guilty or no contest to a crime (excluding misdemeanors and traffic violations)? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, describe in full: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Are you, or have you ever been a sex offender registered with any federal, state, or local government agency? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

U.S. law requires that, if hired, you must furnish appropriate documentation establishing identity and employment eligibility, generally within 72 hours of starting work. For example, acceptable documents include: a U.S. Passport or INS Form 551, a Social Security Card or birth certificate issued by a government authority and a driver's license, a school I.D. with photo or other government-issued documentation establishing identity. Certain other documents are equally acceptable. Please consult a member of the management team and ask them for a copy of INS Form I-9 for a complete list of these documents.

1. I certify that I have read this application and the information on it is complete and correct. I understand that any omissions or misrepresentations are grounds for dismissal.
2. I authorize the persons, employers, schools and organizations listed on this application to give you any information concerning my employment and other pertinent information they may have, personal and otherwise, and release all parties from all liability and damages that may result from furnishing this to you.
3. I acknowledge that Whitesburg Corner LLC/DBA Walton’s Southern Table, reserves the right to amend or modify any of its handbooks or policies at any time and without prior notice. These policies do not create any promises or contractual rights between this employer and its employees. At this independently owned and operated restaurant, employment is at-will. This means an employee is free to terminate his/her employment at any time, without reason, with or without cause, and the employer retains these same rights.
4. Whitesburg Corner LLC/DBA Walton’s Southern Table, is an Equal Opportunity Employer. Various federal, state, and local laws prohibit discrimination on account of race, color, religion, sex, age, national origin, disability or veteran's status, or other categories protected by law. It is the policy of Whitesburg Corner LLC/DBA Walton’s Southern Table, to comply fully with these laws, as applicable, and information requested on this application will not be used for any purpose prohibited by law.
5. I understand Whitesburg Corner LLC, is the employer and does business as Walton’s Southern Table.

Your application is considered active for 30 days, to be considered for a job after that, you must reapply.

Social Security Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Electronic Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }