Bills By The Beach - Application for Employment
We consider applicants for all positions without regard to race, color, religion,
sex, national origin, age, disability, veteran status or any other legally protected
Position(s) applied for:
How did you find out about this position?
Why are you seeking a new position at this time?
If hired, do you have a reliable means of transportation to get to work?
Are you at least 18 years old?
If you are under 18 years of age, can you furnish a work permit?
If the position you are applying for requires driving
Are you legally eligible for employment in the U.S.?
(Proof of U.S. citizenship or immigration status is required if hired.)
Have you been convicted of a crime?
If yes, state the nature of the offense and disposition of the case. Include dates and places.
(NOTE: The existence of a criminal record does not constitute an automatic bar to employment.)
Are you a veteran:
If yes, give dates of service:
List any special skills or training:
Are you seeking: full time, part time, or temporary employment?
What hours and shift(s) would you prefer to work?
List times you are not available to work:
Are you willing to work overtime?
Weekends? Yes No
Holidays? Yes No
Are you currently employed?
If hired, when would you be able to start?
Have you ever worked for this organization before?
If yes, name used:
List any friends or relatives employed by this company:
Have you ever been discharged or asked to resign from any position?
If yes, please describe:
Education (check highest level achieved)
If in high school, were you enrolled in a recognized co-op program?
If yes, identify program and school:
Work History (please begin with most recent)
For references purposes: Have you worked for any of these organizations
or attended school under a different name?
If yes, give name and organization(s)
May we contact the employers listed above? Yes No
If not, list the employers you do not wish us to contact and why:
Authorizations & At-Will Employment Agreement
(please read carefully, then sign and date below)
I certify that I have personally completed this application. I declare that the information
provided in this employment application is true and complete and I understand that any false
information or significant omissions may disqualify me from further consideration for
employment and may be justification for my dismissal from employment if discovered at a
later date. I agree to immediately notify this company if I should be convicted of a crime
while my application is pending or during my employment, if hired.
I authorize this company to make an investigation of all information contained in this employment
application and I release from li-ability all companies and corporations supplying such information.
I understand any false answers, statements, or implications made by me on this application or other
required documents shall be considered sufficient cause for denial of employment or discharge.
I specifically authorize and direct my current and former employers to supply employment-related
information to this company and do hereby release my current and former employers from liability
for providing information to this company.
Upon termination of my employment for whatever reason, I release this company from all liability
for supplying any information concerning my employment to any potential employer.
I authorize this company, if applicable, to request a copy of my credit report, motor vehicle
driving record, and any other investiga-tive report deemed necessary through various third
party sources. As required by law, upon request within a reasonable period of time, I will be
notified as to the nature and scope of such investigations.
I hereby agree to submit to any drug test required of me, whether prior to my employment or
if employed by this company at any time thereafter. The Company reserves the right to grant
conditional position offers, which are conditioned on a medical examina-tion conducted in
accordance with applicable law. The Company may further require the medical evaluation of an
employee, in the event the Company reasonably believes that a condition or situation exists
that poses or might pose a direct threat.
AT-WILL EMPLOYMENT AGREEMENT
I understand and agree that nothing contained in this application, or conveyed during any
interview is intended to create an employment contract between the company and me. In addition,
I understand and agree that if you employ me, in consideration of my employment, my employment
and compensation will be at-will, for no definite period of time, and may be terminated at any
time, for any reason, or for no reason at all. I understand that only the company’s
President is authorized to change the employment-at-will status and such a change can only
be done in writing. I have read, understand, and agree to the above.
Monday – Thursday: 11:00am to 10:00pm • Friday – Sunday: 9:00am to 10:00pm