Roundhouse :: Roundhouse Job Application

Put-in-Bay's Most Unique Island Tavern

PRE-EMPLOYMENT QUESTIONNAIRE - WE ARE AN EQUAL OPPORTUNITY EMPLOYER

THE ROUNDHOUSE BAR

Personnel Programs
PO Box 60
Put-in-Bay, Ohio 43456
419-285-2323

INSTRUCTIONS TO APPLICANT:
Answer all questions accurately and completely.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Personal Information

Email Address

Name

Street Address

City

State

Zip Code

Telephone

Referred By:

Employment Desired

Position

Date You Can Start

Education History

List your most recent schooling

High School

Dates Attended High School

High School Name/Location

Did You Graduate?

High School Subjects Studied

College

Dates Attended College

College Name/Location

Did You Graduate College?

College Subjects Studied

Trade, Business School

Dates Attended Trade, Business School

Trade, Business School Name / Location

Did you graduate Trade, Business School?

Trade, Business School Subjects Studied

Employment History

(List your last 3 employers, starting with the most recent)

Employer #1

Employer #1 Dates Employed

Employer #1 Name of company/ Complete Address

Employer #1 Supervisor/ Telephone

Employer #1 Nature of Duties

Employer #2

Employer #2 Dates Employed

Employer #2 Name of Company/ Complete Address

Employer #2 Supervisor/ Telephone

Employer #2 Nature of Duties

Employer #3

Employer #3 Dates Employed

Employer #3 Name of Company/ Complete Address

Employer #3 Supervisor/ Telephone

Employer #3 Nature of Duties

References

(List the names of three persons, not related to you, whom you have known at least one year)

Reference #1

Reference #1 Name

Reference #1 Occupation

Reference #1 Address

Reference #1 Telephone

Reference #1 Years Known

Reference #2

Reference #2 Name

Reference #2 Occupation

Reference #2 Address

Reference #2 Telephone

Reference #2 Years Known

Reference #3

Reference #3 Name

Reference #3 Occupation

Reference #3 Address

Reference #3 Telephone

Reference #3 Years Known

Roundhouse Bar Interview Information Only

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

I understand that if employed, there will be Company policies and practices that are necessary to abide to.

• I hereby assert that the above information is correct and accurate. %%• I agree that I have read, understand and agree to each of the above statements.

• Fill out your phone number, name, and today's date into the fields below to agree and submit this application.

Phone Number *

Name *

Date *

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