Employment Application Step 1 of 6 16% Personal InformationFirst Name Middle Name Last Name Date of Birth Month Day Year Present Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberEmail Address Referred By Have you ever been convicted or pleaded no contest to a crime?- Select One -YesNo Employment HistoryDates Employed Name & Location Contact Name Your Position Reason for Leaving Dates Employed Name & Location Contact Name Your Position Reason for Leaving Dates Employed Name & Location Contact Name Your Position Reason for Leaving Dates Employed Name & Location Contact Name Your Position Reason for Leaving Position DesiredPosition Date You Can Start MM slash DD slash YYYY Have you ever applied here before?- Select One -YesNoWhen? Are you currently employed?- Select One -YesNoMay we contact your employer?- Select One -YesNoAll employees are expected to be available to work on Mother's Day, Memorial Day, Father's Day, Labor Day, Waconia Event Days as well as other holidays that may be open for business. Do you accept that you must be available?- Select One -YesNo Additional InformationWhat does "great service" mean to you?How does an employee's attitude effect their coworkers and the reputation of Lola's Lakehouse?Describe a scenario, how you would "go the extra mile" for a guest?Describe how Lola's Lakehouse could "go the extra mile" for all employees?I give permission to Lola's Lakehouse to do a full criminal and credit check?- Select One -YesNoInitial Here If hired I'm willing to submit to and pass a controlled substance test at that time or anytime in the future?- Select One -YesNoInitial Here AvailabilityWrite available start time (i.e. "After 4pm")MondayTuesdayWednesdayThursdayFridaySaturdaySunday I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for immediate dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give Lola's Lakehouse any and all information concerning my previous or current employment, and any pertinent information they may have, personal or otherwise, and release Lola's Lakehouse from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of Lola's Lakehouse has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.SignatureDate Month Day Year CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ
