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Hamburger Depot Job Application

Name *
Prefix
First *
Last *
Suffix
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Cell Phone

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Home Phone

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Social Security Number
Please note- This is required for employment, but you do not have to give your SSN here if you're not comfortable with doing so.
Birth Date *

MM
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DD
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YYYY
Which Hamburger Depot Location Would You Like Employment At? (Select All That Apply) *
 Jasper 
 Lumberton 
 Nederland 
 Beaumont- Cardinal Dr. 
 Beaumont- Downtown Neches St. 
 Bridge City 
How Many Hours Would You Like to Work? *
 10 and Under 
 20 and Under 
 30 and Under 
 40 (Full Time) 
 No Preference 
Do you have any scheduling conflicts that we need to know about. If yes, please explain?
Have you ever been convicted of a felony? *
 Yes 
 No 
If you have been convicted of a felony, please explain.

Education

Please Tell Us About Your Education
What is the Highest Level of Education You Have Completed?
 High School/GED 
 Some College 
 Associates Degree 
 Bachelors Degree 
 Masters Degree 
 Other (Please Explain) 

Please Fill Out All Education Fields That Apply

High School/GED Institution
Date of Completion

MM
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DD
/
YYYY
Use best guess if exact date is not known. Please put estimated date of graduation if currently in high school.

College Attended- Undergraduate
Degree Obtained
College Major
Date of Completion

MM
/
DD
/
YYYY
Use Best Guess if Exact Date is Not Known

College Attended- Graduate
Degree Obtained
College Major
Date of Completion

MM
/
DD
/
YYYY
Use Best Guess if Exact Date is Not Known

Employment History

Please Tell Us About Your Last Three Employment Experiences (If Applicable). Please list the most recent employment first.

Job Title
Company/Business Name
Are you currently working at this employer?
 Yes 
 No 
City/State
Supervisor Name
Reason for Leaving
Company Phone Number

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Starting Date

MM
/
DD
/
YYYY
Put in A Date Around the Time You Began Working
Starting Pay
Ending Date

MM
/
DD
/
YYYY
Put in A Date Around the Time You Left This Job
Ending Pay

Job Title
Company/Business Name
City/State
Supervisor Name
Reason for Leaving
Company Phone Number

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Starting Date

MM
/
DD
/
YYYY
Put in A Date Around the Time You Began Working
Starting Pay
Ending Date

MM
/
DD
/
YYYY
Put in A Date Around the Time You Left This Job
Ending Pay

Job Title
Company/Business Name
City/State
Supervisor Name
Reason for Leaving
Company Phone Number

###
-
###
-
####
Starting Date

MM
/
DD
/
YYYY
Put in A Date Around the Time You Began Working
Starting Pay
Ending Date

MM
/
DD
/
YYYY
Put in A Date Around the Time You Left This Job
Ending Pay

Almost Done!!

Please read the following statement and check the box below.
I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal. *
 Yes, I Agree 
 No, I Do Not Agree 
 

 

 

 

 

 

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