OC Eateries Application Fill out this form to be considered for a job with OC Eateries Personal Info Name Address Zip Code State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific How many years have you lived there?* Contact Phone Number* Contact Email* If under 18 please list age Position Applied for* Delivery DriverCookFront end/ Cashier Hourly Rate of Pay Desired* Type days of availability How many hours can you work weekly? Employment Desired* Full TimePart Time OnlyFull or Part Time Date available to begin work* Education Level of Education Completed* I'm in High SchoolGraduated High SchoolI'm in CollegeGraduated CollegeAttended Business or Trade SchoolOther Have you ever been convicted of a crime?* YesNo If yes, explain number of conviction(s), nature of offense(s), leading to conviction(s), how recently such offence(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation* Do you have a drivers license?* YesNo What is your means of transportation to work?* License Info *ONLY FILL OUT IF YOU ARE APPLYING FOR DRIVER POSITION* License Number Drivers License State of Issue Expiration Date Reference 1 Reference #1* First Last Reference #1 Address* Street Address Reference #1 Contact Number* Phone Number State / Province / Region Reference 2 Reference #2* First Last Reference #2 Address* Street Address Reference #2 Contact Number* Phone Number State / Province / Region Employment History *Start from most recent employer* Place of employment Full Name Date/Month/Year Salary Position Reason for leaving Date started with previous employer DD MM YYYY Date ended with previous employer DD MM YYYY May we contact your previous employer? YesNo Agreement Terms Terms and Conditions:* I authorize investigation of all statements contained in this application. I understand that the misrepresentation of omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. Type full name to agree to terms and services*