Contents
Form Example
A P P L I C AT I O N F O R
E M P LOYM E N T
Fill out the application form completely. If questions are not applicable, enter “N/A”. Do not leave any question blank.
Resumes will be accepted as additional information but not in place of a completed application. Be sure to sign and date the application.
TEXAS DE BRAZIL DOES NOT DISCRIMINATE BASED ON RACE, COLOR, SEX, RELIGION, NATIONAL ORIGIN, ANCESTRY, AGE, DISABILITY, MARITAL STATUS OR ANY OTHER BASIS AS PROTECED BY FEDERAL, STATE OR LOCAL LAW. TEXAS DE BRAZIL IS AN EQUAL OPPORTUNITY EMPLOYER.
Date of application _____/_____/_____
MONTH DATE YEAR
Name___________________________________________________________________________________________________________________________
LASTFIRSTMIDDLE
Address (CURRENT) _________________________________________________________________________________________________________________
STREETCITYSTATEZIP CODE
Phone __________________________________________________________________________________________________________________________
HOMEWORK
Type of position desired ____________________________________________________ Can you work
Lunch
Dinner
Both?
Salary/Wage expected $________________________
Full Time
Part Time |
Date available for work _______________________________ |
Is there any day(s) or time(s) you cannot work? _________________________________________________________________________________________
Overall Availability |
Monday |
Tuesday Wednesday Thursday |
Friday |
Saturday |
Sunday |
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Earliest I can work |
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Latest I can stay |
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Were you previously employed by this organization?
Yes
No If yes, list date(s) _____________________________________________________
Is there any reason you cannot perform, with or without reasonable accommodation, the essential functions of the position/positions for which you are applying?
Yes
No If yes, explain _____________________________________________________________________________________________________
Are you legally authorized to work in the United States?
Yes
No (If hired, veriication will be required consistent with federal law.)
BACKGROUND INFORMATION
During the past seven years, have you ever been discharged, suspended or asked to resign from any position?
Yes
No
If yes, please explain_______________________________________________________________________________________________________________
For the purpose of verifying information on this application, have you ever worked or attended school under a different name at any of the organizations
you have listed? |
Yes |
No If yes, specify name _________________________________________________________________________________ |
Have you ever been convicted of any crime, pleaded guilty or nolo contendere, had adjudication withheld and/or been released from coninement
following a conviction for any criminal offense?
Yes
No Record
You should answer “no record” if: a conviction has been sealed, impounded or expunged or otherwise statutorily eradicated; if you were convicted of a youthful offender adjudication, or a juvenile delinquency proceeding or adjudication, for a bail forfeiture. Applicants in Utah should answer “no record” if they have applicant who has not been convicted of a felony. If you checked yes, please explain below. A criminal conviction will not necessarily be a bar to employment. To help us evaluate your application, please describe the nature of the crime and your subsequent rehabilitation.
Have you ever been a defendant in a civil action alleging discrimination, harassment, fraud, defamation, assault and battery, invasion of privacy or false
imprisonment?
Yes
No If yes, include the nature of the incident, your involvement, and the disposition of the case.
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
EDUCATION
(Note: transcripts may be required for veriication of education)
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Name & |
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Number of Semester |
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Type of |
Major Field |
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Type of School |
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Location of School |
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Hours Completed |
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Graduated |
Diploma or Degree |
of Study |
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High School or G.E.D. |
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Yes |
No |
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College, University, |
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Yes |
No |
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Technical or Vocational |
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Do you have a Food Handler Card? |
Yes |
No From what city/county? ______________________________________________________________ |
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Do you have an Alcoholic Beverage Card? |
Yes |
No If yes, when does it expire? ______________________________________________________ |
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Are you of legal age to serve alcohol (18 years or older, Utah state law minimum age is 21). |
Yes |
No |
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Do you have reliable transportation? |
Yes |
No |
If no, please explain ________________________________________________________________ |
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Driver License number___________________________________________________ State____________________________________________________
Are you currently enrolled in school? |
Yes |
No If yes, where and when _____________________________________________________________ |
OTHER LANGUAGES (Include Sign Language) |
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Language: ___________________ |
SPEAK: |
FAIR |
GOOD |
EXCELLENT |
Language: ___________________ |
SPEAK: |
FAIR |
GOOD |
EXCELLENT |
Do you have any friends/relatives working with our company?
READ:
READ:
Yes
FAIR |
GOOD |
FAIR |
GOOD |
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No |
EXCELLENT |
WRITE: |
FAIR |
EXCELLENT |
WRITE: |
FAIR |
GOOD
GOOD
EXCELLENT SIGN: EXCELLENT SIGN:
FAIR
FAIR
GOOD
GOOD
EXCELLENT
EXCELLENT
If yes, list name, relationships and locations:____________________________________________________________________________________________
Who were you referred by? _________________________________________________________________________________________________________
Additional Comments:_____________________________________________________________________________________________________________
EMPLOYMENT RECORD
Please indicate previous employment. Start with present or most recent position, including military service. (Use additional sheet if necessary)
PLEASE READ CAREFULLY BEFORE INITIAL/SIGNING. IF YOU HAVE ANY QUESTIONS REGARDING THE FOLLOWING STATEMENTS, PLEASE ASK FOR ASSISTANCE.
INITIALS
__________ I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.
__________ I understand, where permissible under applicable federal, state, and local law, I may be subject to a
receive a negative result before being permitted to commence work with the company. I also may be subject to
__________ I understand, where permissible under applicable federal, state, and local law, I may be subject to a
employment, and must meet the qualiications for the position, with or without reasonable accommodation, before being permitted to commence work with the company.
__________ I certify that the information given by me on this application is true and complete, without any omissions of any kind. I authorize the company and its representatives to contact my
prior employers and all others for the purpose of veriication of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools and other persons named on this application to provide any information or transcripts requested.
__________ I understand employment with the company is also contingent on my providing suficient documentation necessary to establish my identity and eligibility to work in the United States.
__________ I expressly understand and agree that, if employed, my employment, having no speciied term, is based upon mutual consent and may be terminated at will, with or without cause, by
either party (the employer or me) without prior notice to the other, unless otherwise prohibited by law.
__________ I understand that no representation, whether oral or written, by any representative or agent of the company, at any time, can constitute an implied or expressed contract of employment.
I further understand no representative or agent of the company has the authority to enter into an agreement for employment for any speciied period of time or to make any change in any policy, procedure, beneit or other terms or condition of employment other than in a document signed by the Director of Human Resources or his/her authorized representative.
__________ I certify, under penalty of perjury, that all of the above information is true and complete, and I understand that any falsiication or omission of information may result in denial of
employment or, if hired, may result in termination regardless of the time lapse before discovery.
MY SIGNATURE IS EVIDENCE THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS. |
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_______________________________________________________________ |
______________________ |
Applicant’s Name |
Applicant’s Signature |
Date |
*Application is valid for 30 days only, once expired, a new application must be submitted.
JURY WAIVER AGREEMENT
Although the Texas de Brazil believes that our internal complaint resolution procedures should be suficient to resolve any workplace problems that you may have, we recognize that sometimes, notwithstanding everyone’s best efforts, a matter cannot be resolved internally. In those rare instances, we believe that our nation’s judges (such as our federal judges who are appointed by Congress for life and thus are free from any outside bias or inluence) are in the best position to resolve our workplace disputes. Accordingly, we have created this policy which, in effect, says that if you ile a lawsuit, our nation’s judges will decide if we acted correctly or incorrectly. This policy does not take away any of your rights to sue or seek any type of remedy the law allows, it simply provides for a federal or state judge to decide our differences. By signing this agreement you consent to waive your right to a jury trial with respect to any lawsuit you may commence against Texas de Brazil, its afiliates, subsidiaries, divisions, successors, assigns, and purchasers, and the current, former, and future employees, shareholders, oficers, directors and agents thereof (“Texas de Brazil “), relating in any manner to your application for, employment with, or cessation of your employment, or any term and condition of your employment with the Texas de Brazil. Absent signing this Jury Waiver Agreement you would not be hired and/or remain employed by Texas de Brazil. You have the right to consult with counsel of your choosing regarding this Jury Waiver Agreement prior to signing this document.
By signing below you acknowledge that you have had a reasonable period of time to consider this Jury Waiver Agreement and are waiving your right to a jury trial knowingly, voluntarily, and free from duress or coercion.
_______________________________________________________________ |
_______________________________________________________________ |
______________________ |
Applicant’s Name |
Applicant’s Signature |
Date |
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Common mistakes
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Leaving questions blank. All questions on the Application For Texas De Brazil must be answered. If a question does not apply, write “N/A” instead of skipping it.
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Not signing or dating the application. It is essential to sign and date the application to confirm that the information provided is accurate and complete.
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Submitting a resume without a completed application. A resume can supplement the application but cannot replace the need for a fully filled-out application form.
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Failing to provide accurate contact information. Ensure that all phone numbers and addresses are current to facilitate communication.
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Not indicating availability. Clearly state the days and times you are available to work to help the employer assess your fit for the position.
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Omitting employment history. Include all relevant previous employment, starting with the most recent position, to provide a complete picture of your experience.
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Not disclosing previous employment with the company. If you have worked at Texas De Brazil before, it is important to indicate this accurately.
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Failing to answer questions about criminal history. If applicable, provide explanations regarding any past convictions, as this information can impact employment eligibility.
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Neglecting to mention language skills. Indicate any additional languages spoken, as this can be beneficial for certain positions within the company.
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Ignoring the Jury Waiver Agreement. Understand and sign the Jury Waiver Agreement, as it is a requirement for employment with Texas De Brazil.
Key takeaways
When filling out the Application For Texas De Brazil, keep the following key takeaways in mind:
- Complete the application: Fill out every section of the application. If a question does not apply to you, write “N/A.” Leaving questions blank can lead to delays or disqualification.
- Supplement with a resume: You may include a resume, but it should not replace the completed application form.
- Sign and date: Ensure you sign and date the application to validate your submission.
- Equal opportunity employer: Texas De Brazil adheres to equal opportunity laws and does not discriminate based on various factors, including race, gender, and disability.
- Provide accurate information: All details provided must be truthful. Misrepresentation can lead to disqualification or termination.
- Background check: Be prepared for a background check. This may include verification of previous employment and any criminal history.
- Work authorization: Confirm that you are legally authorized to work in the U.S. Verification will be required if hired.
- Availability: Clearly state your availability for work, including any days or times you cannot work.
- Additional qualifications: Indicate any relevant certifications, such as a Food Handler Card or Alcoholic Beverage Card, if applicable.
- Jury waiver agreement: Understand that signing the application includes a waiver of your right to a jury trial for any disputes related to employment.
Following these guidelines will help ensure a smooth application process with Texas De Brazil.
Steps to Using Application For Texas De Brazil
Completing the Application for Texas De Brazil is a straightforward process that requires attention to detail. This form gathers essential information about your background, work history, and qualifications. Once you have filled it out completely, you will be ready to submit it for consideration.
- Begin by entering the date of your application in the format of month/day/year.
- Fill in your full name, including last, first, and middle names.
- Provide your current address, including street, city, state, and zip code.
- Input your phone number, specifying whether it is a home or work number.
- Indicate the type of position desired and whether you can work lunch, dinner, or both.
- State your expected salary or wage and indicate if you are looking for full-time or part-time work.
- Specify your availability date for starting work.
- List any days or times you cannot work.
- Answer whether you have been previously employed by Texas De Brazil and provide the dates if applicable.
- Indicate if there is any reason you cannot perform the essential functions of the position.
- Confirm your legal authorization to work in the United States.
- Answer questions regarding any past employment issues, such as being discharged or suspended.
- Provide information about any different names you have used for work or school verification.
- Disclose any criminal convictions, if applicable, and provide explanations as needed.
- Fill out your educational background, including schools attended, degrees earned, and relevant coursework.
- Indicate whether you possess a Food Handler Card or an Alcoholic Beverage Card, along with any expiration dates.
- Answer questions about your age concerning alcohol service laws and your transportation reliability.
- List any languages you speak and indicate your proficiency in speaking, reading, and writing.
- Note if you have any friends or relatives working with Texas De Brazil.
- Provide the name of the person who referred you, if applicable.
- Include any additional comments that may support your application.
- Detail your employment history, starting with your most recent job, including military service.
- Read the statements regarding your application carefully, and initial each statement to confirm your understanding.
- Finally, sign and date the application, ensuring that all information is accurate and complete.