MANAGEMENT AP

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					      APPLICATION FOR EMPLOYMENT
                      MANAGEMENT
                                                                                 EQUAL OPPORTUNITY EMPLOYER


INDICATE COMPANY FOR WHICH YOU ARE APPLYING:

      DENNY'S          OFFICE SUPPORT             OTHER



PERSONAL INFORMATION PLEASE PRINT CLEARLY AND COMPLETE ALL ITEMS



NAME (LAST/FIRST/MIDDLE)                                                         SOCIAL SECURITY NO.



HOME TELEPHONE NO.                                                               WORK TELEPHONE NO.



PRESENT ADDRESS (STREET/CITY/STATE/ZIP)




PREVIOUS ADDRESS (STREET/CITY/STATE/ZIP)




AGE             UNDER 18      18 OR OLDER



DO YOU HAVE RELATIVES IN THE COMPANY?         (WHO?/LOCATION?)




HAVE YOU EVER WORKED FOR THIS COMPANY BEFORE?                    YES             NO



IF YES, WHEN? (FROM/TO)                                                WHERE?



HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE?                    YES             NO



IF YES, WHEN?                                                          WHERE?



HOW DID YOU LEARN OF OUR ORGANIZATION?            WALK-IN        REFERRAL       AGENCY    NEWSPAPER          SCHOOL         OTHER



IS YOUR CITIZENSHIP OR STATUS SUCH THAT YOU CAN LAWFULLY WORK IN THE U.S.?                    YES         NO EXPLAIN:




EMPLOYMENT DESIRED



POSITION                                                         SALARY REQUIREMENTS



ARE YOU WILLING TO RELOCATE?            YES           NO         ARE YOU WILLING TO TRAVEL?         YES      NO         % OF TIME



GEOGRAPHICAL PREFERENCE? (FIRST/SECOND/THIRD)
EDUCATION
 SCHOOL NAME AND LOCATION                     COURSE OF STUDY                YEARS                DID YOU               DEGREE
                                                                           COMPLETED             GRADUATE?             RECEIVED

HIGH SCHOOL                                                                                          YES       NO




COLLEGE                                                                                              YES       NO




TRADE, BUSINESS, OTHER                                                                               YES       NO




OFFICE SKILLS FOR CLERICAL APPLICANTS ONLY

PLEASE LIST ALL OFFICE SKILLS AND EQUIPMENT IN WHICH YOU ARE ACCOMPLISHED (I.E. TYPING, WPM/COMPUTER PROGRAMS USED)




GENERAL INFORMATION (FOR MANAGEMENT CANDIDATES)

WHAT DO YOU THINK ARE THE MOST IMPORTANT QUALITIES OF A MANAGER?




WHY DID YOU APPLY?




WHAT JOB EXPERIENCES HAVE BENEFITED YOU MOST IN PREPARING FOR THIS POSITION?




HAVE YOU BEEN CONVICTED OF A CRIME (OTHER THAN MINOR TRAFFIC VIOLATIONS)?                       YES        NO
IF YES, EXPLAIN NUMBER OF CONVICTIONS, NATURE OF OFFENSE(S) LEADING TO EACH CONVICTION, HOW RECENTLY OFFENSE WAS COMMITTED,
SENTENCE(S) FOR EACH CONVICTION, AND TYPE OF REHABILITATION FOR EACH CONVICTION.




A CONVICTION RECORD IS NOT AN AUTOMATIC BAR TO EMPLOYMENT.
EMPLOYMENT HISTORY START WITH PRESENT OR MOST RECENT EMPLOYER


1. EMPLOYER NAME                                             ADDRESS


JOB TITLE                                                  HOURS WORKED PER WEEK


SUPERVISOR NAME                              TITLE                         TELEPHONE NO.


JOB DESCRIPTION


DATES WORKED (FROM/TO)                                     ANNUAL SALARY (STARTING/FINAL)


REASON FOR LEAVING?


MAY WE CONTACT PRESENT EMPLOYER? (IF PRESENTLY EMPLOYED)               YES           NO


2. EMPLOYER NAME                                           ADDRESS


JOB TITLE                                                  HOURS WORKED PER DAY


SUPERVISOR NAME                              TITLE                           TELEPHONE NO.


JOB DESCRIPTION


DATES WORKED (FROM/TO)                                     ANNUAL SALARY (STARTING/FINAL)


REASON FOR LEAVING?


3. EMPLOYER NAME                                           ADDRESS


JOB TITLE                                                  HOURS WORKED PER DAY


SUPERVISOR NAME                              TITLE                           TELEPHONE NO.


JOB DESCRIPTION


DATES WORKED (FROM/TO)                                     ANNUAL SALARY (STARTING/FINAL)


REASON FOR LEAVING?




EXPLAIN ANY LAPSE IN EMPLOYMENT OF THREE MONTHS OR MORE.




GIVE OTHER INFORMATION OR JOB REFERENCE THAT YOU BELIEVE WOULD ASSIST US IN CONSIDERING YOU FOR EMPLOYMENT>
  REFERENCES NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR


  1. NAME                                                                     ADDRESS


  BUSINESS                                                                    TELEPHONE NO.                                      YEARS KNOWN


  2. NAME                                                                     ADDRESS


  BUSINESS                                                                    TELEPHONE NO.                                      YEARS KNOWN


  3. NAME                                                                     ADDRESS


  BUSINESS                                                                    TELEPHONE NO.                                      YEARS KNOWN




                                                                          READ CAREFULLY
I CERTIFY THAT ALL MY ANSWERS IN THIS EMPLOYMENT APPLICATION ARE TRUE AND COMPLETE TO MY BEST KNOWLEDGE, AND I UNDERSTAND THAT THIS APPLICATION
WILL REMAIN ACTIVE FOR THIRTY (30) DAYS ONLY.

I UNDERSTAND THAT THE COMPANY HAS AN "ALCOHOL AND DRUG FREE WORKPLACE" PROGRAM AND THAT, AS A CONDITION OF EMPLOYMENT, I PASS A "POST OFFER / PRE-
EMPLOYMENT" DRUG SCREENING.

I AUTHORIZE THE COMPANY TO INVESTIGATE AND VERIFY MY ANSWERS AND I GIVE THE COMPANY PERMISSION TO CONTACT SCHOOLS, PREVIOUS EMPLOYERS,
REFERENCES, AND OTHERS IN ITS INVESTIGATION. I RELEASE BOTH THE COMPANY AND THE PARTY PROVIDING THE INFORMATION FROM ANY LIABILITY FOR THIS PURPOSE. I
ALSO RELEASE THE COMPANY FROM ANY LIABILITY FOR PROVIDING INFORMATION ABOUT MY EMPLOYMENT RECORD TO ANY PROSPECTIVE EMPLOYER, GOVERNMENT
AGENCY, OR OTHER PARTY HAVE A LEGAL AND PROPER INTEREST.

      I ALSO AUTHORIZE THE COMPANY TO SECURE FINANCIAL AND CREDIT INFORMATION THROUGH A CONSUMER REPORTING AGENCY, AND I UNDERSTAND THAT, UPON MY WRITTEN REQUEST MADE

    WITHIN A REASONABLE TIME, THE CONSUMER REPORTING AGENCY WILL PROVIDE ME WITH ADDITIONAL INFORMATION CONCERNING THE NATURE AND SCOPE OF ANY CREDIT REPORT INVESTIGATION. I

    ALSO AGREE TO PARTICIPATE IN COMPUTERIZED INTERVIEWING, ASSESSMENT TESTING, AND ANY OTHER SIMILAR COMPANY REQUIREMENTS WHICH ARE CONDITIONS OF EMPLOYMENT.



      I UNDERSTAND THAT ANY FALSE OR MISLEADING ANSWER IN THIS EMPLOYMENT APPLICATION OR OTHER PRE-EMPLOYMENT INQUIRY IS GROUND FOR REJECTION OF MY APPLICATION OR IMMEDIATE

    TERMINATION IF I HAVE BEEN EMPLOYED.



      IF EMPLOYED, I WILL COMPLY WITH ALL COMPANY POLICIES AND RULES FOUND IN ANY COMPANY POLICY MANUAL, EMPLOYMENT HANDBOOK, OR OTHER COMMUNICATION FROM THE COMPANY.

    I UNDERSTAND THE COMPANY MAY CHANGE ITS POLICIES AND RULES IN THE FUTURE WITHOUT GIVING NOTICE TO ME.




      I AGREE NOT TO USE OR DISCLOSE OUTSIDE MY EMPLOYMENT WITH THE COMPANY ANY CONFIDENTIAL INFORMATION, TRADE SECRET, OR PROPRIETARY INFORMATION, WHATEVER ITS FORM,

    OBTAINED IN CONNECTION WITH MY EMPLOYMENT WITH THE COMPANY.



      I UNDERSTAND THAT EMPLOYMENT WITH THE COMPANY WILL BE TERMINABLE AT WILL, THAT NO EMPLOYMENT CONTRACT WILL BE VALID UNLESS MADE IN WRITING AND SIGNED BY THE

    COMPANY'S SENIOR VICE PRESIDENT OF HUMAN RESOURCES, AND THAT MY EMPLOYMENT MAY BE ENDED AT ANY TIME, FOR ANY REASON, BY ME OR THE COMPANY. IF EMPLOYED, I FURTHER

    UNDERSTAND THAT MY FIRST NINETY (90) DAYS ARE A PROBATIONARY PERIOD (WHICH MAY BE EXTENDED IN THE COMPANY'S DISCRETION) TO DETERMINE WHETHER MY CONTINUED EMPLOYMENT IS

    APPROPRIATE.




                                                                  I HAVE READ AND UNDERSTAND THE ABOVE




                                           DATE                                                 APPLICANT'S SIGNATURE

				
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posted:10/1/2012
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