Thank you for your interest in joining our team!Please fill out the following form to the best of your ability Applicant Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Referred by Desired position Date you can start Are you currently employed? Yes No Which location(s) are you interested in? Spokane (U-District) Spokane Valley Coeur d'Alene Desired schedule/shift What high school did you attend? Did you graduate? Yes No Higher education Are you or have you been a member of the US Military or Naval serice? Yes No List your last three employers below, starting with the most recent. Please include the date you started, your last day of employment, your duties, and your reason for leaving. Current / former employer #1 Current / former employer #2 Current / former employer #3 Please provide at least one reference who is not related to you, that you have known for at least one year * Name, Business, Telephoen, Address, Years Known May we contact that reference? * Yes No Name, Business, Telephone, Address, Years Known May we contact that reference? Yes No Name, Business, Telephone, Address, Years Known May we contact that reference Yes No Answering yes to the following question does not necessarily disqualify you from employment Have you even been convicted of a felony? Yes No If yes, please explain. If no, leave blank. I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. Do you certify that the above is true? Yes No Signature date Thank you for taking the time to apply to Caruso’s. After we have had a chance to review your application, we will get in touch with you. Thank you, again!
