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JOB APPLICATION


Oh My Burger
2142 W. El Segundo Blvd, Gardena, California 90249
310-756-6522


Oh My Burger is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.


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Applicant Name:

Address:

Telephone Number:

Email Address:

Date of Application:

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How did you hear about this position?

What days are you available for work?

What hours are you available for work?

On what date can you start working if you are hired?

Do you have a reliable transportation to and from work?

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Have you ever applied to or worked for Oh My Burger before?

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If yes, when?

Do you have any friends, relatives, or acquaintances working for Oh My Burger?

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If yes, state name & relationship:

Are you 18 years of age or older?

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Are you U.S citizen or approved to work in the United States?

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What documents can you provide as a proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?

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Have you ever been convicted of a criminal offense (felony or misdemeanor)?

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If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

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Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: Oh My Burger complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional. )

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Name:

Location:

Year Graduated:

Degree Earned

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Name:

Address:

Year Graduated:

Degree Earned:

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Name:

Location:

Year Graduated:

Degree Earned:

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Are you a member of the Armed Services?

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

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Job Title:

Supervisor Name:

Employer Address:

Employer Telephone:

Dates Employed:

Reason for leaving:

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Job Title:

Employer Address:

Supervisor Name:

Employer Telephone:

Dates Employed:

Reason for leaving:

Please provide 2 personal and professional reference(s) below:

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Reference 1:

Contact Information:

Reference 2:

Contact Information:

The relationship between you and the Oh My Burger is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Oh My Burger. No representative of Oh My Burger has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

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Fill-out Date:

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