"WE ARE ALWAYS LOOKING FOR GOOD PEOPLE"

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Name: Date: --- "WE ARE ALWAYS LOOKNG FOR GOOD PEOPLE" We are looking for people who want to work in a cheerful and helpful environment; people who honestly enjoy helping other people, both your fellow employees and our customers.

CASA'S Panama Square to Applicants" 747-8999 CAFE want fill out this ClFjJl1\.>CUl doesn't indicate who can handle completely; even if it N/A. a is answered of details we We'll you give us on application if Any false or misleading statements will disqualify you consideration no matter how talented understand that not as concerned in tell us, as we are the best if vou want to We will want to be to verify your We will want to talk to your or co-workers. sure to list valid names numbers. We want to your Conect phone your schools department are Cigarette Cigarette operation. be taken, but with the permission of a will not be allowed if interfere with of our restaurants rushes. We are committed to maintaining a We don't possession of the workplace. or alcohol on or alcohol. don't give it some yourself, why ;'UVU1U not Read statement on applications. carefully it. We will

Screening nterview Name: (Please jill this out) Position: As a member our foodservice staff, how would you help improve repeat business? f asked your best friend to describe you what would they say? f you saw someone you thought you recognized but weren't quite sure, what would you do? What qualities do you need to be a great (position applied for) in a restaurant? s it difficult for you to carry on "small talk" with people? What recent accomplishments do you take great pride in? What are some reasons for your success? What would your previous employers say about your work? What would you do to make a negative situation positve? What kinds of people irritate you? How do you decide what to do with your time off? What activities have you been involved in during the past two years? What motiviates you to get your job done? How do you feel about doing more than one activity at a time?

-- --~- -- ApPLCATON FOR EMPLOYMENT PRE-EMPLOYMENT QUESTONNARE EQUAL OPPORTUNTY EMPLOYER. NAME (LAST NAM E FRST) PERSONAL NFORMATON SOCAL SECURTY NO. - - PRESENT l\ddress CTY STATE ZP CODE PERMANENT ADDRESS CTY STATE ZP CODE PHON E NO. ( ) REFERRED BY EMPLOYMENT D ESRED POSTON YOU CAN START SALARY DESRED AREYOU F SO, MAY WE NQURE EMPLOYED NOW? DYES o NCl DYEs ' O NO OF YOUR PRESENT EMPLOYER? DYES ONO EVER APPLED THS COMPANY BEFORE? DYES D NO WHERE? ----_. _. - WHEN? EDUCATON HSRY.. HGH SCHOOL NAME & LOCATON OF SCHOOL YEARS ATTENDED, DD YOU GRADUATE? SUBJECTS STUDED COLLEGE TRADE, BUSNESS OR CORRE SPONDENCE SCHOOL - -- --_. -- GENERAL NFORMATON SUBJECTS OF SPECAL STUDY/RESEARCH WORK SPECAL TRANNG 'SPECAL SK LLS U.S. MLTARY OR NAVAL SERVCE RANK FORMER EMPLOYERS (LST BELOW LAST FOUR EMPLOYERS, STARTNG WTH LAST ONE FRST) NAME & ADDRESS OF EMPLOYER SALARY POSTON REASON FOR LEAVNG MONTH AND YEAR FROM FROM FROM.. F~OM /hadams 9661 AUG 2007 APPLCATON FOR EMPLOYMENT CONTNUED ON OTHER SDE

REFERENCES GiVE BElOW THE NAMES OF TH REE PERSO NS NOT RELATED YOU, WHOM YOU HAVE KNOWN AT LEAST 0 J... ~ AUTHORZAnON " certify that the facts contained in t his application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on t his app lication shall be grounds for dismissal. aut horize investigation of all statements cont ained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liabil ity f or any damage that may result from utilization of such information. also understand and agree that no represe ntative of the company has any authority to enter into any agreement for employm ent f or any specified period of t im e, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This \f.-la iver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans w ith Disabilities Act (ADA) an d other reievant federal and state laws." SGNATUR E - - ----- - - DO NOT WRTE BELOW THS UNE-------- NTERVEWED BY REMARKS NEATNESS CHARACTER PERSONALTY ABLTY HRED \FOR DEPT. \ POSTON!WLL REPORT!SALARY WAGES APPROV ED: 1. ~==~==~~~=_--------2. 3. ~--------------- EMPLOYMENT MANAGER DEPARriofENT HEAD GENERAL MANAGER This appuc;.rtion for employment is sold only for gene.ral use throughout the United States. Adams assumes no responsibility and hereby disdaims any liability for the indu5ion in this fonn ofany questions or1!qest$ for infonnation upon which a violation o f local, state, andlor ~al law may be based. t;s the user's responsibility to et$.1? that this form's use complies with applicable laws, which change from time to time.