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Welcome!

Filling out this form is not a guarantee of employment. Please do not call the restaurants, we will contact you if we have openings.

Thank you.

PERSONAL INFORMATION

Your Name*

Enter a�phone number where you can easily be reached.

Your Phone*
-
Address:*
E-mail:
Food Handler Sanitation License?
Basset Alcohol Server Certification?
Why do you want to work for Orange?*

EMPLOYMENT DESIRED

Position Desired*
Employed Now?*
Current Employer

EDUCATION HISTORY

High School
Date Graduated
College
Major?
Graduated/Degree?
Trade or Business School?

FORMER EMPLOYER(S), start with the most recent first.

#1 from date:
#1 to date:
#1 Employer name and address:
#1 Position & Reason for Leaving:

EMPLOYER NO. 2

#2 from date:
#2 to date:
#2 Employer name and address:
#2 Position & Reason for Leaving:

EMPLOYER #3

#3 from date
#3 to date:
#3 Employer name and address:
#3 Position & Reason for Leaving:

REFERENCES - give the names of three persons NOT RELATED to you, whom you have known at least one year.

#1 Name:
#1 Phone:
-
#2 Name:
#2 Phone:
-
#3 Name:
#3 Phone:
-

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