Employment

Rethink the waffle

Waffle D’Jour serves authentic Belgian waffles, which are made with a special kind of sugar, called pearl sugar. We use only the freshest ingredients and import this sugar directly from Belgium, to bring you a taste of Belgium.

Employment

Application for Employment

PRE-EMPLOYMENT QUESTIONNAIRE. EQUAL OPPORTUNITY EMPLOYER.

PERSONAL INFORMATION
First Name:
Last Name:
Birthdate:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Home Phone:
Cell Phone:
Email:
-
EDUCATION HISTORY
High School:
College/Trade School:
Extra Curricular Activities:
-
FORMER EMPLOYERS
Name of Employer:
Phone Number of Employer:
Dates Employed:
Position:
Reason for Leaving:
-
Name of Employer:
Phone Number of Employer:
Dates Employed:
Position:
Reason for Leaving:
-
REFERENCES	Give below the names of 3 persons not related to you, whom you have know for at least one year.
Name:
Relation:
Phone Number:
Years Known:
-
Name:
Relation:
Phone Number:
Years Known:
-
Name:
Relation:
Phone Number:
Years Known:
-
AVAILABILITY	Please indicate your available hours
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
-
ADDITIONAL INFORMATION:
AUTHORIZATION:	“ 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 dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company 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.”
	ACCEPT
	DECLINE