Employment Application

Thank you for your interest in joining the team at El Azteca!

* = Required

Applicant Name

Present Address

City

State

Zipcode

Phone Number

Reffered By

Position

Date You Can Start

Are you currently employed? Yes No

If so, may we contact your current employer? Yes No

High School

Did you graduate? Yes No

College

Are you a member of the U.S. Military or Naval Service? Yes No

Rank

List your last four employers below, starting with the most recent

Former Employer 1/Current Employer

Former Employer 2

Former Employer 3

Please provide the names of three persons not related to you, whom you have known at least one year

Reference 1

Reference 2

Reference 3

Why do you want to work at El Azteca?

What are you good at? What skills would you bring to the team?

Anything else we should know?

Answering yes to the following question does not necessarily disqualify you from employment

Have you ever been convicted of a felony? Yes No

If yes, explain:

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.

E-signature Yes No

Signature date

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Thank you for your interest in joining the team at El Azteca!

* = Required

Thank you for your application