Year Completed	Majoring In
High School	Yes No
Trade or Business School	Yes No
College/University	Yes No
College/University	Yes No

 

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 Skills
(complete if applying for Clerical, Secretarial, or Data Processing Positions)

Typewriting: Yes WPM  No  Shorthand: Yes WPM  No
Dictaphone:  Yes No   Data Entry:Yes No    Ten Key:Yes No           Calculator:    Yes No

Word Processing Equipment:
Other Data Processing Equipment:
Other Data Processing Equipment:

List other skills, professional certifications or training which you feel qualify you for which you are applying:

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General Information

Have you ever worked at BKC or with a BKC Franchise? Yes No
If yes, when, where & position held:

Have you ever applied to BKC?Yes No
Have you ever worked in the food industry? Yes No
What starting salary will you require?:
When would you be available for employment?
How were you referred to BKC?

Are you willing to relocate? Yes No 
Location preferences or restrictions:
Are you willing to travel? Yes No  If yes, how much?
Are you willing to work (check all that apply):
Overtime   Nights   Weekends   Holidays   Shifts

Known physical conditions which you believe could affect your ability to perform duties of position being applied for. Do not list if application is being made in Massachusetts.

HAVE YOU BEEN CONVICTED OF A FELONY OR MISDEMEANOR (OTHER THAT A TRAFFIC VIOLATION) WITHIN THE PREVIOUS SEVEN (7) YEARS (PREVIOUS (5) YEARS IF APPLICATION MADE IN NEW HAMPSHIRE)
Yes No

If yes, state offence convicted or court convicted in, date of conviction and disposition of case. Note: A record of conviction does not disqualify you from employment consideration.

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Employment History

Company:	Position:
Address:	Phone:
Dates of Employment:-
Description of duties:
Reason for leaving:

Company:	Position:
Address:	Phone:
Dates of Employment:-
Description of duties:
Reason for leaving:

Name:
Address:
Telephone:		Relationship:

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V&J Employment Services, Inc.

I understand that falsification or omission of information may result in immediate dismissal in the event of employment. I authorize the schools, references, and my prior employers listed above to provide my record, reason for leaving, and all other information they may have concerning me, and I release all parties from any and all liability or claims for damage whatsoever that may result therefore. I agree and acknowledge that I will conform to the rules and regulations of any employer, that my employment can be terminated or altered, with or without cause and with or without notice, at any time, at the option of myself or the employer, that my employment compensation and/ or job level can be terminated or altered, with or without cause and with or without notice, at anytime, at the option of the employer and that there have been no contrary promises made to me or any agreements for employment for a specified period of time. I further agree and acknowledge that any agreements for employment for a specified period of time or for specific conditions of my employment must be reduced to writing and signed by me and an officer of the employer. I further understand that even an agreement by an officer of my employer must be signed in writing and signed by the officer for it to be binding on either myself or the employer, and that employee manuals do not and are not intended to create a contract for employment for a definite period of time. I further understand that the employer can not guarantee work hours and that as business condition dictate, I may be required to work hours other than those of which I was originally employed period. I hereby represent and warrant that I have read and fully understand all of the foregoing and seek employment under these conditions of my own free will in accordance with my own judgment. I certify and declare, with the submission of this web form, under the penalty of perjury that all of the foregoing is true and correct period.

I certify that I have read and agree to the above