Employment Application

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Street Address

Suite / Apt Number

City

State

Zip Code

Mobile Number *

Please enter a phone number.

Email Address *

Please enter a valid email.

Are you 18 years or older? *

Yes No

Please answer this question.

If hired, are you able to submit proof that you are legally eligible for employment in the US? *

Yes No

Please answer this question.

Position Type *

Full time Part time Temporary

Please select a position type.

Job position applying for: (please select one) *

Please select a position.

Please provide your availability

All Day

AM / PM

Flexible

Not Available

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date available to start *

Please select a start date.

Desired rate of pay

Referred by:

Education

Would you like to provide information about your education? (Optional)

Yes No

Past Employment

List your most recent position first. Add as many as you'd like — one entry is required.

Please add at least one employer.

References

Please provide three references and indicate if they are personal or professional.

Reference 1

Personal Professional

First Name

Last Name

Relationship to you

Company

Their Job Title

Phone

Reference 2

Personal Professional

First Name

Last Name

Relationship to you

Company

Their Job Title

Phone

Reference 3

Personal Professional

First Name

Last Name

Relationship to you

Company

Their Job Title

Phone

Applicant's Certification and Agreement

In short: the information you've given is accurate, we may verify it with your references, and employment is at-will. The full terms are below.

Read the full certification and agreement

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Susan Gage Caterer to verify their accuracy and to obtain reference information on my work performance. I hereby release Susan Gage Caterer from any/and all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of Susan Gage Caterer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either Susan Gage Caterer or I may terminate my employment at any time with or without notice or cause.

Upload your resume or cover letter (Optional)

PDF or Word document, up to 5 MB.

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Date signed *

Please check the box to submit your form * By checking this box I indicate my complete understanding of the agreement listed above.

You must agree before submitting.

Server Position *

Education

Software Applications & Other Skills

Past Employment

References

Applicant's Certification and Agreement

Employer