Lady K's Catering, LLC

10495287_802474736458923_5768830033723749077_o

EMPLOYMENT APPLICATION

Lady K’s Catering, LLC
PO Box 3302
Leesburg, Virginia 20177
703-771-0134

Lady K’s Catering, LLC is an equal opportunity company. This application will not be used for limiting or excluding any applicant from consideration on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact an LKC company representative.

Please complete all sections listed below in their entirety:

APPLICANT'S INFORMATION

Date of Application:(required)

Full Name: (required)

Date of Birth:(required)

Current Address (including city, state and zip code):(required)

Social Security Number:(required)

Phone Number:(required)

Please specify below which phone number you provided?(required)

Home Work Cell

Email Address:(required)

POSITION APPLYING FOR:(required)

Mobile Café Assistant

How did you hear about this position?(required)

What days are you available to work? (Be Specific)(required)

What shifts are you available to work? AM / PM (Be Specific)(required)

If needed, are you available to work overtime?(required)

Yes No

If hired, please specify the date you can you begin working: (required)

Do you have fully insured, reliable transportation to and from work?(required)

Yes No

Are you food safety management certified? (i.e. ServSafe )(required)

Yes No

If so, can you provide a copy as poof?(required)

Yes No

Salary Desired?(required)

PERSONAL INFORMATION

Have you ever applied or worked for Lady K's Catering, LLC before?(required)

Yes No

If yes, when?

Do you have any friends, relatives, or acquaintances working for Lady K's Catering?(required)

Yes No

If yes, please state their name & your relationship to them.

Are you 18 years of age or older?(required)

Yes No

Are you a U.S. citizen or approved to work in the United States?(required)

Yes No

What documents can you provide as proof of identity & citizenship?(required)

Do you have any condition which would require job accommodations?(required)

Yes No

If yes, please describe accommodations required below.(required)

Have you ever been convicted of a criminal offense (felony or misdemeanor)?(required)

Yes No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case. Please note that no applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.(required)

JOB SKILLS / QUALIFICATIONS

Please list below the skills and qualifications you possess for the position for which you are applying.(required)

EDUCATION AND TRAINING

High School Name:(required)

High School Address (including city, state & zip code):(required)

Year Graduated:(required)

High School Diploma Earned?(required)

Yes No

College / University Name:(required)

College / University Address (including city, state & zip code):(required)

Year Graduated:(required)

Degree Earned?(required)

Yes No

If yes, please specify the degree earned.(required)

Specialized Training / Vocational School Name:

Specialized Training / Vocational School Address (including city, state & zip code):

Year Graduated:

Certificate Earned?

Yes No

If yes, please specify the type of certificate earned.

PREVIOUS EMPLOYMENT

1) Company Name:(required)

Company Address (including city, state & zip code):(required)

Your Supervisor's Name:(required)

Your Supervisor's Contact Number:(required)

Your Job Title:(required)

Dates Employed (month/year & start/end dates):(required)

Reason for Leaving:(required)

2) Company Name:(required)

Company Address (including city, state & zip code):(required)

Your Supervisor's Name:(required)

Your Supervisor's Contact Number:(required)

Your Job Title:(required)

Dated Employed (month/year & start/end dates):(required)

Reason for leaving:(required)

3) Company Name:(required)

Company Address (including city, state & zip code):(required)

Your Supervisor's Name:(required)

Your Supervisor's Contact Number:(required)

Your Job Title:(required)

Dates Employed (month/year & start/end dates):(required)

Reason for leaving:(required)

Please list 3 professional references (NO RELATIVES):

1. First & Last Name:(required)

Company Name (if applicable):(required)

Current Address:(required)

Contact Number:(required)

Email Address:(required)

2. First & Last Name:(required)

Company Name (if applicable):(required)

Current Address:(required)

Contact Number:(required)

Email Address:(required)

3. First & Last Name:(required)

Company Name (if applicable):(required)

Current Address:(required)

Contact Number:(required)

Email Address:(required)

Applicant's Electronic Signature (Your full name):(required)

Applicant's Signature Date (Today's date):(required)

“AT-WILL” DISCLAIMER
If hired, you understand that the contracted business agreement between you and Lady K’s Catering, LLC is at will. This means that your contract can be terminated at any time for any reason, with or without cause by Lady K’s Catering. No representative of Lady K’s Catering has authority to enter into any agreement contrary to the foregoing at-will relationship. Furthermore, you understand that your contract is at-will and you acknowledge that no oral or written statements or representations regarding your contract can alter your at-will status, except for a written statement signed by you and the owner of Lady K’s Catering, LLC.

BY ELECTRONICALLY SIGNING & SUBMITTING THIS APPLICATION, YOU AGREE THAT YOU UNDERSTAND THE ABOVE MENTIONED & THE INFORMATION YOU PROVIDED IS IN FACT TRUE & CORRECT TO THE BEST OF YOUR KNOWLEDGE.

EMPLOYMENT APPLICATION

Lady K’s Catering, LLC PO Box 3302 Leesburg, Virginia 20177 703-771-0134

Lady K’s Catering, LLC
PO Box 3302
Leesburg, Virginia 20177
703-771-0134