Tommy Bartlett Show - The Greatest Show on H2O

Personal Information

Name (Last Name First)		Social Security No.
Present Address	City	State	Zip/Postal Code
Permanent Address	City	State	Zip/Postal Code
Phone / Cell Number		E-mail	Referred By
Date of Birth	How long have you lived in this city?		Do you have transportation? Yes No

Job Interests

Position Desired

Hrs Avail.	Mon	Tue	Wed	Thu	Fri	Sat	Sun
From
To

Desired Wage

Total Hours Available Per Week

How long do you intend to remain on this job?

Any days you cannot work?

How soon will you be available for employment?

Both days and weekends?
Yes No

Available until labor day?
Yes No

Willing to work every weekend?
Yes No

Ever interviewed with/been employed by us?
Yes No

If Yes: When?

Future Job Interests

Education And Training

	Highest Completed	School Name	Location	Training / Major	Graduate?
High School
College
Trade School

Work Experience Present or most recent employer

Employer		Phone #
Address		City	State
Mo./Yr. Begin	Mo./Yr. Ended	Starting Wage	Ending Wage
Starting Position		Ending Position
Supervisor's Name		Duties
What did you like most?		What did you like least?
My former/present supervisor would rate my performance as: Excellent Very Good Good Fair Poor			Number of days missed from work (do not count vacation)
If currently employed, may we contact your present employer? Yes No
Reason for leaving Laid Off/Company or Department Closed Down Better Job Opportunity School Didn't Like Job Fired/Asked To Resign Moved Other (please specify)

Previous Employer

Employer		Phone #
Address		City	State
Mo./Yr. Began	Mo./Yr. Ended	Starting Wage	Ending Wage
Starting Position		Ending Position
Supervisor's Name		Duties
What did you like most?		What did you like least?
My former supervisor would rate my performance as: Excellent Very Good Good Fair Poor		Numer of days missed from work (do not count vacation)
Reason for leaving Laid Off/Company or Department Closed Down Better Job Opportunity School Didn't Like Job Fired/Asked To Resign Moved Other (please specify)

Previous Employer

Employer		Phone #
Address		City	State
Mo./Yr. Began	Mo./Yr. Ended	Starting Wage	Ending Wage
Starting Position		Ending Position
Supervisor's Name		Duties
What did you like most?		What did you like least?
My former supervisor would rate my performance as: Excellent Very Good Good Fair Poor		Number of days missed from work (do not count vacation)
Reason for leaving Laid Off/Company or Department Closed Down Better Job Opportunity School Didn't Like Job Fired/Asked To Resign Moved Other(please specify)

Personal Information

Person to notify in case of emergency

Name	Home Ph:	Work Ph:	Address:	City:	State:	Zip:

Are you legal age to server alcohol? Yes No

If you are a minor, can and will provide:
Proof of age? Yes No
A work permit? Yes No

If employed, can you submit verification of your legal right to work in the United States? Yes No

Have you been convicted of a crime within the past 10 years? Yes No
If Yes, Explain

Some of Tommy Bartlett's Positions require handling of/accountability for large sums of money.
Are there any reasons you may not be able to do so? Yes No
If Yes, Please Explain

References (List 3 work references)

Name:	Title:	Company:	Address:	Phone:

Name:	Title:	Company:	Address:	Phone:

Name:	Title:	Company:	Address:	Phone:

WAIVER. I HEREBY GIVE TOMMY BARTLETT INC. PERMISSION TO CONTACT ALL OF MY REFERENCES FOR INFORMATION
(INITIALS)

I UNDERSTAND AND AGREE THAT: This is an application for employment and not an employment contract. Any misrepresentation or omission in my Application For Employment or related papers or oral interviews may be justification for refusal of employment, or if employed, termination of employment. Tommy Bartlett, Inc. may investigate my entire work history, law enforcement and traffic records and may verify data given in my Application For Employment, related papers or oral interviews. I authorize such investigation and the giving and receiving of any information sought by Tommy Bartlett, Inc. and shall be for no definite period of time. Tommy Bartlett, Inc. may change any wages, benefits and conditions of employment any time. Tommy Bartlett, Inc. may terminate my employment at any time without liability except for wages or salary earned as of the date of such termination. Business needs will make the following conditions mandatory: overtime, shift work, a rotating work schedule and a work schedule other than Monday through Friday. If employed, I hereby agree to abide by the rules and regulations of Tommy Bartlett, Inc. including those which address job-related dress and grooming standards. I understand these rules and regulations may be amended or revised by Tommy Bartlett, Inc. at any time and that nothing in this application creates, or will create, an express or implied contract of employment between Tommy Bartlett, Inc. and me. I acknowledge Tommy Bartlett, Inc. has the right to conduct random drug tests and to search its property, such as lockers or desks, at any time without prior notice or permission. I agree to fully cooperate in any investigation of missing Company property by submitting to a search of my person or property. I further understand that refusal to cooperate in such investigation may result in my discharge. Tommy Bartlett, Inc. is an equal opportunity employer. We select each employee based solely on job-related qualifications, regardless of race, color, creed, sex national origin, age, disability or other membership in a proteced group under static, federal or local Equal Opportunity Laws.
SIGNATURE:	DATE:
HOW DID YOU LEARN ABOUT TOMMY BARTLETT, INC. AS A PLACE OF EMPLOYMENT?