Miscellaneous
Personal Reference #1
Personal Reference #2
Emergency Contact #1
Emergency Contact #2
Health
The Secretary of Health and Human Services has determined that certain diseases, including hepatitis A, salmonella,
shigella, staphylococcus, streptococcus, giardia, E.Coli, and campylobacter may prevent you from serving food
or handling food equipment in a sanitary or healthy fashion. An essential function of this job involves handling
and serving food, food service equipment and utensils in a sanitary and healthy fashion.
Is there any reason why you cannot perform the essential functions of this job?
General
What additional relevant experiences or training have you had other than your work experience, military service, and education?
Activities – civic, athletic, fraternal, etc. (exclude organizations which indicate race, religion, color, or national origin of members):
Agreement
1.
I certify that I have read and fully completed both pages of this application and that the information contained on this application is
correct to the best of my knowledge and understanding that any omission or erroneous information is grounds for dismissal in accordance with It's Boba Time policy.
2.
I authorize the references listed on this application to give you any and all information concerning my previous employment and pertinent information they may have, personal
or otherwise, and release all parties from all liabilities for any damages that may result from furnishing same to you.
3.
I acknowledge that It's Boba Time reserves the right to amend or modify the policies in its Handbook and other It's Boba Time policies at any time,
without prior notice. These policies do not create any promises or contractual obligations between It's Boba Time and its employees.
At It's Boba Time, my employment is at will. This means that I am free to terminate my employment at any time, for any reason, with or without cause,
and It's Boba Time retains the same rights.
It's Boba Time is an Affirmative Action and Equal Opportunity Employer. Various Federal, State and Local laws prohibit discrimination on account of race,
color, religion, sex, age, national origin, disability, or veteran status. It is It's Boba Time policy to comply fully with these laws,
as applicable, and information requested on this application will not be used for any purpose prohibited by law.
I understand that as a part of the procedure for my employment application, an investigative consumer report may be made concerning my charter,
general reputation, personal characteristics and mode of living. Upon written request, additional disclosure concerning the complete nature
and scope of the investigation will be provided. If I am denied a job based either wholly or in part because of information contained
in an investigative consumer report, I will be provided the name and address of the reporting agency that supplied the information.
(If you input your name, we will consider it as your signature.)
Thank you for your applying to work with us
at Its Bobatime!
