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Sandusky Bay Pancake House
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Application
For Employment
First Name
Last Name
Email Address
Phone Number
Address
Education
Days Available
Which position(s) are you interested in?
Hourly Rate Desired?
If under 18, please state age.
Have you ever worked for Sandusky Bay Pancake House?
If so, when and what position?
Are you eligible to work in the United States?
What is your means of transportation to work?
Interested in Full or Part Time?
Have you every been convicted of a crime?
If yes, please explain.
Employer #1 Name and Address
Employer #1 Phone Number
Employer #1 Supervisor Name
Employer # 1 Position/Field
Employer #1 Dates of Employment
Employer #1 Reason for Leaving
Employer #2 Name and Address
Employer #2 Phone Number
Employer #2 Supervisor Name
Employer #2 Position/Field
Employer #2 Dates of Employment
Employer #2 Reason for Leaving
Employer #3 Name and Address
Employer #3 Phone Number
Employer #3 Supervisor Name
Employer #3 Position/Field
Employer #3 Dates of Employment
Employer #3 Reason for Leaving
May we contact your previous employers?
Did you complete this application yourself?
Submit