Contact Information
Name:
Phone:
Email:
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Mobile Phone:

Requested Information
What position are you applying for?
Hours:	- Choose an Option - Full Time Part Time Any Shift
Are you legally eligible for employment in the United States? * Note: Proof of eligibility will be required within three working days of employment.	- Choose an Option - Yes No
Are you capable of performing the essential functions required for the position for which you are applying with or without an accommodation?	- Choose an Option - Yes No
Have you ever pled guilty, “no contest” to, or been convicted of a felony? *Note: Answering “Yes” to the question above does not constitute an automatic bar from employment. Factors such as age, time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.	- Choose an Option - Yes No
If Yes please give date(s) and details:

Personal Information
Address 1:
Address 2:
City
State/Province:
Zip/Postal Code:
Country:
Phone:
Age:	- Choose an Option - 16 or Older 18 or Older 21 or Older

Re-Hire
Have you ever been employed by Bawi Korean BBQ or its affiliate restaurants?	- Choose an Option - Yes No

Education and Training
High School: Name and Location of School
High School: Last Grade Completed	- Choose an Option - 9 10 11 12
High School: Did you Graduate?	- Choose an Option - Yes No
High School: Degree	- Choose an Option - Diploma GED Certificate Other
College/University: Name and location of school
College/University: Course of study
College/University: Last Grade Completed	- Choose an Option - Freshman Sophmore Junior Senior
College/University: Did you graduate?	- Choose an Option - Yes No

Employment Experience
May we contact this employer for a reference?	- Choose an Option - Yes No
Current or Most recent Employer
Supervisor's Name and Title
Address
Date first employed
Last day employed
Company Phone Number
Job Title
Average Hours Worked Per Week
Reason For Leaving
Hourly Rate or Annualized Salary
Describe Major Work Duties
May we contact this employer for a reference?	- Choose an Option - Yes No
Previous Employer
Supervisor's Name and Title
Address
Date first employed
Last day employed
Company Phone Number
Job Title
Average Hours Worked Per Week
Reason For Leaving
Hourly Rate or Annualized Salary
Describe Major Work Duties

Professional Reference
Name of a professional reference:
Relationship of professional reference:
Phone number of professional reference:

Availability
Monday	- Choose an Option - Lunch Dinner Both Unavailable
Tuesday	- Choose an Option - Lunch Dinner Both Unavailable
Wednesday	- Choose an Option - Lunch Dinner Both Unavailable
Thursday	- Choose an Option - Lunch Dinner Both Unavailable
Friday	- Choose an Option - Lunch Dinner Both Unavailable
Saturday	- Choose an Option - Lunch Dinner Both Unavailable
Sunday	- Choose an Option - Lunch Dinner Both Unavailable
How many hours per week would you like to work?
On what date would you be available to work?

Rate of Pay
Rate of pay expected * Per hours or annualized salary
How did you hear about a position with us?

Preferences
Location Preference:	- Choose an Option - Bawi - Springfield Hinode - Springfield Hinode - Nixa Any
Position Preference: