APPLICATION FOR EMPLOYMENT (Pre-Employment Application, An Equal Opportunity Employer)

    Name SS# Today's Date

    Present Address

    Permanent Address

    Present Phone Permanent Phone

    Are you 18 years or older?YesNo If No, how old?

    Are you prevented from lawfully becoming employed in this country due to Visa or immigration status?YesNo

    EMPLOYMENT DESIRED

    Position Date you can start

    Are you employed now?YesNo If Yes, by whom?

    Referred by

    EDUCATION

    High School: Name and location

    Years Attended Graduate?

    College: Name and location

    Years Attended Graduate? Subjects Studied

    Other: Name and location Other Information

    GENERAL

    Something About Yourself

    WRITE DOWN THE BEST TIMES AVAILABLE FOR YOU TO WORK (deli hours: 7am-3am):
    Sun Mon Tues Wed Thurs Fri Sat

    FORMER EMPLOYERS List below last three employers, starting with most recent

    Job 1: From-To(date/month/year)

    Employer Name Address

    Phone of Employer Salary

    Position Reason For Leaving

    Job 2: From-To(date/month/year)

    Employer Name Address

    Phone of Employer Salary

    Position Reason For Leaving

    Job 3: From-To(date/month/year)

    Employer Name Address

    Phone of Employer Salary

    Position Reason For Leaving

    REFERENCES Please give the name of one person not related to you, whom you have known at least one year

    Name Phone Business Years Acquainted

    IN CASE OF EMERGENCY

    Name Address Phone

    Have you ever been convicted of a felony?YesNo If so, for what?

    I certify that all the information submitted by me on this application is true and complete and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated with or without cause and with or without notice at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed with or without cause and with or without notice at any time by the company. I understand that no company representative, other than the president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing.

    I agree that the above is true (please type your name)

    Kountry Kart Deli

    We at the KKD strive to serve our customers fast, freshly prepared food items in the friendliest manner making them want to return time and time again.

    We use the freshest ingredients possible when making all of our homemade soups and salads.

    Every one of our salads is made in house.

    Our burgers are hand formed and served to the temperature you desire.

    Try our house made Harvest Veggie burger.

    Eight Consecutive Years
    Daysies Award Winner