Alton's Restaurants

EMPLOYMENT APPLICATION

We are an Equal Opportunity Employer

Location You are Applying At: (check one or both)

2250 Walden Ave (Cheektowaga)

2221 Transit Rd (Elma)

Both

*PLEASE CHOOSE ONE*

PERSONAL DATA

First and Last Name

Please enter First and Last Name.

Primary Phone Number

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Address

City

State (Choose below)

Zip

Please enter email.

Are you at least 18 years of age? If No, State Age:

POSITION INFORMATION

Position Applying For

Please enter Position Applying For.

Date Available to Start

Please enter Date Available to Start.

Wage Desired

Do you have reliable transportation to and from work? Explain.

Have you previously been employed by Alton’s Restaurant? (If yes, When)

Do you have any physical, mental, or medical impairment that may limit your ability to perform the job for which you are applying?

How did you learn of our opening?
(please be specific)

EDUCATIONAL BACKGROUND

Are you currently a student or planning on going to school?

Currently a student

Planning on going to school

LEVEL	SCHOOL NAME AND LOCATION	GRADUATION YEAR	SUBJECTS STUDIED
High School
College
Other

EMPLOYMENT HISTORY

COMPANY/BUSINESS	FROM (MM/YY)	TO (MM/YY)	JOB TITLE	SALARY	REASON FOR LEAVING

AVAILABILITY

DAYS	AVAILABLE	TIME: FROM	TIME: TO	AVAILABLE ALL DAY
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Holidays
How many days per week are you looking to work?
How many hours per week are you looking to work?
Are you willing to take less hours or days than stated previously?

BACKGROUND/SECURITY DATA

Within the past 10 years, have you ever been convicted of a felony, entered a plea of no contest to a felony charge or been convicted of a misdemeanor? (If yes, explain) * A “Yes” is not an automatic bar to employment. All individual circumstances may be considered.	No Yes
Have you ever been disciplined in a prior job for cash handling violations?	No Yes
Have you ever been counseled, disciplined, or terminated in a prior job for theft, violence, discrimination, or harassment?	No Yes

EMPLOYMENT APPLICATION

PERSONAL DATA

POSITION INFORMATION

EDUCATIONAL BACKGROUND

LEVEL

SCHOOL NAME AND LOCATION

GRADUATION YEAR

SUBJECTS STUDIED

EMPLOYMENT HISTORY

COMPANY/BUSINESS

FROM (MM/YY)

TO (MM/YY)

JOB TITLE

SALARY

REASON FOR LEAVING

AVAILABILITY

DAYS

AVAILABLE

TIME: FROM

TIME: TO

AVAILABLE ALL DAY

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Holidays

How many days per week are you looking to work?

How many hours per week are you looking to work?

Are you willing to take less hours or days than stated previously?

BACKGROUND/SECURITY DATA

Within the past 10 years, have you ever been convicted of a felony, entered a plea of no contest to a felony charge or been convicted of a misdemeanor? (If yes, explain) * A “Yes” is not an automatic bar to employment. All individual circumstances may be considered.

No

Yes

Have you ever been disciplined in a prior job for cash handling violations?

No

Yes

Have you ever been counseled, disciplined, or terminated in a prior job for theft, violence, discrimination, or harassment?

No

Yes