15322 Santa Gertrudes Ave., La Mirada, CA 90638

(714) 994-8667

ORDER ONLINE

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Location
Employment
Contact

Employment

We're hiring!

Thank you for your interest in joining the Tom’s Jr. Restaurant team! Kindly complete the form provided below

Personal Information

First Name

M.I.

Last Name

Street Address

Apt Number

City

State

Zip

Phone Number

Social Security Number

Email Address

Employment Information

Position Applied For

Salary Desired

Date Available

Are you employed now?

Yes No

Are you 18 years of age or older?

Yes No

Are you a citizen of the United States?

Yes No

If No, are you authorized to work in the U.S.?

Yes No

Have you ever been convicted of a felony?

Yes No

If yes, explain?

What type of work are you seeking?

When can you work? (check all that apply)

What questions do you have regarding the position?

PREVIOUS EMPLOYMENT

Company

Phone Number

Address

Supervisor

Job Title

Starting Pay

Ending Pay

Responsibilities

From

To

Reason For Leaving?

May We Contact Your Supervisor for a Reference?

Yes No

DISCLAIMER AND SIGNATURE

I certify that all my answers are true to the best of my knowledge. I understand that any false or misleading information on my application or interview can result in termination if hired.

Electronic Signature

Date

Upload Resume (Optional)

15322 Santa Gertrudes Ave. La Mirada

(714) 994-8667

Mon - sun 6:30am to 10pm

ORDER ONLINE

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