Maria's Santa Fe - Employment Application
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Employment Application
Applicant Name: *
Current Address: *
Home Phone:
Cell Phone:
Social Security Number: *
Permanent Address (if different from current address):
Are you legally authorized to work in the U.S.? *
Are you 16 years of age or older? *
Our servers and bartenders are required to be at least 21 years old. If you are applying for either of those positions are you over 21?
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Have you ever worked or attended school under another name? If so, under what name?
Have you ever been convicted of a felony?
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If yes, give details, including date(s):   A “yes” answer will not automatically disqualify you from employment. We will consider the nature and date of the offense and the job for which you are applying for job-related purposes only, and only to the extent permitted by applicable law.
Position Desired:
What position are you applying for:
What date can you start?
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If applying for a server or bartender position are you New Mexico Alcohol Certified?
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Schedule Availability: Please mark the shifts you are available to work on a regular basis.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Lunch
Dinner
How many shifts are you available to work each week?
Have you ever worked for Blue Corn Café, Blue Corn Brewery, La Casa Sena, Maria’s New Mexican Kitchen, Rio Chama, 35° North Coffee, Rooftop Pizzeria, Draft Station, Chama River Brewing Co. or Kelly’s Brew Pub?
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If you answered yes, where did you work and when?
Reason for leaving:
What is the highest level of education you completed:
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Are you currently enrolled in school?
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Other education or training:
Other special skills:
Work Experience:
Please list all previous employment within the last five years, beginning with the most recent. Include a contact name and telephone number for verification purposes.
Employer:
Address:
Phone #:
Start Date to End Date:
Position Held:
Supervisor’s Name & Title:
May we contact?:
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Reason for leaving:
Employer (2):
Address (2):
Phone # (2):
Start Date to End Date (2):
Position Held (2):
Supervisor’s Name & Title (2):
May we contact? (2):
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Reason for leaving (2):
Employer (3):
Address (3):
Phone # (3):
Start Date to End Date (3):
Position Held (3):
Supervisor’s Name & Title (3):
May we contact? (3):
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Reason for leaving (3):
Authorization and Acknowledgements:
I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any false information or deliberate omission of information requested will be sufficient reason for rejection of my application or termination of my employment.

I understand that all information I have furnished may be verified by contacting former employers (except where I have otherwise indicated. I grant permission to contact all references listed above, and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to you.

I authorize you to engage an investigative consumer reporting agency to report on my credit and personal history. If a report is obtained you must provide, at my request, the name of the consumer reporting agency so I may obtain the nature and substance of the information contained in the report from them.

If hired, I understand that my employment is “at will” and can be terminated with or without cause, at any time, at my option or the option of the company. No employee or representative of the company, other than the President, has any authority to enter into any agreement for employment contrary to the foregoing and then only if in a written, signed document. Neither this application nor any employee handbook are considered to be a contract.
Electronic Applicant Signature:
Date:
MM
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YYYY
Equal Opportunity Employer
We are an equal opportunity employer.  It is our policy to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as ancestry, sex, religion, race, color, age, physical or mental disability or serious medical condition, gender identity, sexual orientation, spousal affiliation, marital or veteran status, national origin or genetic information.
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