Jandy's Online Employment Application

First Name: Middle Initial: Last Name:
Street Address: City: State: Zip:
Home Phone: Cell Phone: Email:
Have you ever worked for a restaurant before? If yes, When:
Where: Describe Duties:
Are you 16 years of age or over (Proof of age or work permit may be required)?
Are you legally able to be employed in this country (Verification will be required by law)?
What type of position are you seeking?
Total hours available per week: MO TU WE TH FR SA SU
Date available to start work:
Are you currently employed or attending school?
School Name, City, State Years Attended Degree/Courses
High School:
Employment History (Begin with the most recent)
Company Position How Long Supervisor Name Phone Number Leaving Reason
References (Please do not use family members)
Name Relation Phone Number Years Known
security code
Enter Security Code:

By submitting this online application form, you certify that you have read and fully completed this form and that the information contained herein is correct to the best of your knowledge. You understand that any omission or false information is grounds for dismissal. You authorize the references listed on this application to give Jandy's any and all information concerning your previous employment and pertinent information they may have, personal and otherwise. You understand that as a part of the procedure for your employment application, an investigative consumer report may be made by Jandy's concerning your character, general reputation, personal characteristics, and mode of living.