Employment Application

Full Name

First Name Last Name
Date

Month Day Year
Location applying for *

Richmond, VA Roanoke, VA Blacksburg, VA NoDa, Charlotte, NC Ballantyne, Charlotte, NC Food Truck - Southwest VA
Position applying for
How you were referred
Address
Phone

Area Code Phone Number
E-mail
Date Available to Start

Month Day Year
Salary Requirement
Are you above the age of 18?

Yes No
Are you above the age of 21?

Yes No
Have you ever worked for this company before?

Yes No
If yes, when?
Are you legally allowed to work in the United States?

Yes No
Have you ever been convicted of a felony?

Yes No
If yes, give dates and details
Type of employment desired

Full-time Part-time

Please mark your availability

Are you a student?

Yes No
If yes, please list all extracurricular groups and activities you participate in (clubs, sports, etc.)
Do you have any problems working before, during or after Virginia Tech events?

Yes No
Please tell us about yourself and any special skills or qualifications you might have:
Previous Employment

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related manners as may be necessary for an employment decision. I hereby release employers, schools, or individuals from all liability when responding to inquiries in connection with my application

In the event that I am employed, I understand that false or misleading information given in my application or interview may result in discharge.
Signature
Date

Month Day Year
Should be Empty:

Previous Employment