Talkeetna Roadhouse Application for Employment

Personal Information  
First Name:
Middle Name:
Last Name:
Present Address:
City:
State:
ZIP:
Telephone:
email:
Social Security Number:
Contact in case of Emergency:
Name:
Phone Number:
Is there any information we would need about your name or use of another name in order to verify your work history?
No. Yes.
Please Specify:
Position Information
  
Position Applying For:
Do you have any relatives formerly or currently employed by the Talkeetna Roadhouse?
No. Yes.
Please Specify:
How were you referred to the Talkeetna Roadhouse?
Have your ever been convicted for a felony?
No. Yes.
Please Specify:

 

Educational History
 
School Name and Location
Years Completed
Degree or Diploma
Elementary:
High School:
College:
Technical:
Other:
       

Employment History

Please list last three positions held starting with most recent or current. Please be aware that the Talkeetna Roadhouse will contact all of the employers provided on this application for employment verification. If for any reason, an employer should not be contacted, please list them in your cover letter.

Current or Most Recent Employment
  
Company Name
Address
City
State
Zip
Telephone
Position Held
Wage / Salary
Manager / Supervisor
Reason for Leaving
Dates
Second Most Recent Employment
  
Company Name
Address
City
State
Zip
Telephone
Position Held
Wage / Salary
Manager / Supervisor
Reason for Leaving
Dates
Third Most Recent Employment
  
Company Name
Address
City
State
Zip
Telephone
Position Held
Wage / Salary
Manager / Supervisor
Reason for Leaving
Dates

References

Please provide three references. Please do not list relatives or former employers.

Reference 1
  
Name
Telephone
Occupation
Years Known
Reference 2
  
Name
Telephone
Occupation
Years Known
Reference 3
  
Name
Telephone
Occupation
Years Known

Work Availability

When you would be able to begin work?
Do you have any objection to working overtime?
Can you work overtime without prior notice?
Can you work on Saturday?
Can you work on Sunday?
Can you travel if the position requires?
What are your salary or hourly rate requirements?

 

 
   
P.O. Box 604
Voice (907) 733-1351
Talkeetna, Alaska 99676
Fax (907) 733-1353
trisha@talkeetnaroadhouse.com
   
Click for Talkeetna, Alaska Forecast Recommend The Roadhouse. The Roadhouse is a Smoke Free Environment.
 
Copyright © 2002 Talkeetna Roadhouse. All Rights Reserved.