Careers at Spring Shabu

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APPLICATION FOR EMPLOYMENT

Locations

Applying Job Position

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status.

Start Date

How did you find out about this job?

Newspaper

Employee

Walk-in

Relative

Other

Why are you seeking a new job at this time?

APPLICANT INFORMATION

First Name

Middle Name

Last Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Phone

Email

If hired, do you have a reliable means of transportation to get to work? (Describe)

Are you at least 18 years old?

If you are under 18 years of age, can you furnish a work permit?

If the job you are applyng for requires driving: Driver's License No.

State

Expiration Date

Are you a veteran?

If yes, give dates of service:

To

List any special skills or training

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification from upon hire.

EMPLOYMENT INFORMATION

Are you seeking full time, part time or temporary employment?

What hours and shift(s) would you prefer to work?

List times you are not available to work?

Are you willing to work overtime?

Weekends?

Holidays?

Are you currently employed?

Have you ever worked for this organization before?

If hired, when would you able to start?

If yes, name used

List any friends or relatives employed by this company

Have you ever been discharged or asked to resign from any position?

If yes, please describe

EDUCATION (Indicate highest level achieved)

Elementary

Secondary

College

Name of School 1

Name of School 2

Name of School 3

If in high school, are you enrolled in a recognized co-op program?

Yes

No

If yes, identify program and school

Location of School 1

Location of School 2

Location of School 3

Degree & Major

Minor

WORK HISTORY (please begin with most recent)

1.

Company

Address

Dates of Employment

Job Title

Phone No. with Area Code ( )

City/State/Zip

Salary

Supervisor's Name & Title

Describe duties briefly

Specific reason for leaving

2.

Company

Address

Dates of Employment

Job Title

Phone No. with Area Code ( )

City/State/Zip

Salary

Supervisor's Name & Title

Describe duties briefly

Specific reason for leaving

3.

Company

Address

Dates of Employment

Job Title

Phone No. with Area Code ( )

City/State/Zip

Salary

Supervisor's Name & Title

Describe duties briefly

Specific reason for leaving

4.

Company

Address

Dates of Employment

Job Title

Phone No. with Area Code ( )

City/State/Zip

Salary

Supervisor's Name & Title

Describe duties briefly

Specific reason for leaving

For references purposes: Have you worked for any of these organizations or attended school under a different name?

If yes, give name and organization(s)

May we contact the employers listed above?

If not, list the employers you do not wish us to contact and why

Attachment

Upload File

Upload supported file (Max 15MB)

AUTHORIZATIONS & AT-WILL EMPLOYMENT AGREEMENT

Please read carefully

I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification form my dismissal from employment if discovered at a later date.

I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or dis-charge.

I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company.

Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer.

I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investiga- tive report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations.

I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician.

AT-WILL EMPLOYMENT AGREEMENT

I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company’s President is authorized to change the employment-at- will status and such a change can only be done in writing. I have read, understand, and agree to the above.

Name

Date

MASSACHUSETTS EMPLOYMENT ONLY: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violate this law shall be subject to criminal penalties and civil liability.

FLUSHING, NY

136-20 38th Ave 2nd FL Flushing, NY 11354

718. 395. 8076

WESTBURY, NY

1195 Corporate Drive Westbury, NY 11590

516. 385. 5565

BOSTON, MA

304 Western Ave Brighton, MA 02135

617. 202. 5422

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