Employment Questionnaire for Landfall/Candy Go Nuts

Position applied for:______________________________

If application is considered favorably, date you could start working:_________________

If you work at Landfall/Candy Go Nuts this year, what is the exact date you would have to leave? _________________

Home Address (where we should send W-2 form) School Address (if applicant is a student)
Name Name
Address  Address 
State/Zip  State/Zip 
Home Phone  School Phone 
E-mail  E-mail 
Best phone to be contacted at:

Social Security number______________________________

Age_________________

How did you hear of Landfall/Candy Go Nuts? ____________________________________________________

Do you know anyone who worked here? _____________________________

Do you consider yourself an experienced restaurant or hotel worker as a result of prior duty in a commercial restaurant or hotel with full luncheon or dinner service? _______________________________

Students Only: (Please tell us about your school)

What school do you attend? _______________________________

What year are you? ________________________________

When does your school's calendar year end? ____________________

When does your school's calendar year begin? ____________________

Please tell us about your employment history.
List below all present and past employment. Begin with most recent job.

Company Name/Address Type of Business Position Supervisor (reference)
       
Start Date (mm/dd/yr) End Date (mm/dd/yr) Phone Number
     
Reason for Leaving
 

Company Name/Address Type of Business Position Supervisor (reference)
       
Start Date (mm/dd/yr) End Date (mm/dd/yr) Phone Number
     
Reason for Leaving
 

Company Name/Address Type of Business Position Supervisor (reference)
       
Start Date (mm/dd/yr) End Date (mm/dd/yr) Phone Number
     
Reason for Leaving
 

Company Name/Address Type of Business Position Supervisor (reference)
       
Start Date (mm/dd/yr) End Date (mm/dd/yr) Phone Number
     
Reason for Leaving
 

Please send this form and the supporting papers to us as soon as possible at the following address:

Landfall Restaurant
P.O. Box 107
Woods Hole, MA 02543
Thank you for your interest.
The Estes

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