Online Job Application

All required fields are indicated with *
It is the company's policy to provide equal employment opportunity in compliance with all applicable state and federal laws.

Personal Data
Name Name First Last
Telephone Telephone - ### - ### ####
Email
Social Security Number
Other Names You've Worked Under
Desired Name to be Called
Do You Have the Legal Right to Work in the US?

Do You Have the Legal Right to Work in the US? Yes No
Are You 18 Years of Age or Older?

Are You 18 Years of Age or Older? Yes No
If Not, Are You at Least 16 Years of Age?

If Not, Are You at Least 16 Years of Age? Yes No
Position Objective
How Were You Referred?
Position Desired
Hours/Days Available Per Week
Date Available to Begin Work
Salary/Wage Desired
Are There Times You Cannot Work?
General Information
Have You Ever Submitted an Application to or Worked for Mr. Burger?

Have You Ever Submitted an Application to or Worked for Mr. Burger? Yes No
If Yes, When & Where
If Yes, Name & Location
Do You Have Any Friends or Relatives Employed by Mr. Burger?

Do You Have Any Friends or Relatives Employed by Mr. Burger? Yes No
Have You Ever Been Discharged from Employment?

Have You Ever Been Discharged from Employment? Yes No
If Yes, Please Explain
Education

High School *All fields required if applicable
Name & Location of High School
Level of Years Completed

Level of Years Completed 9 10 11 12
Type of Degree or Certificate
Higher Education

College/University *All fields required if applicable
Name & Location of College/University
Major
Level of Years Completed

Level of Years Completed 1 2 3 4
Type of Degree or Certificate
Reference #1
Name Name First Last
Telephone Telephone - ### - ### ####
Company Name & Title
Relationship
Reference #2
Name Name First Last
Telephone Telephone - ### - ### ####
Company Name & Title
Relationship
Employment History

Please Start with Your Most Recent Employer
Period of Unemployment (if applicable)
How Did You Spend This Time?
Job #1 All fields required if applicable
Period of Employment
Employer's Name and Address
Job Title
Supervisor
Telephone Telephone - ### - ### ####
Description of Duties
Reason for Leaving (if no longer there)
May We Contact?

May We Contact? Yes No
Job #2 All fields required if applicable
Period of Employment
Employer's Name and Address
Job Title
Supervisor
Telephone Telephone - ### - ### ####
Description of Duties
Reason for Leaving (if no longer there)
May We Contact?

May We Contact? Yes No
Upload Resume - (Optional)

Attach Files
Upload a Clear Headshot or Selfie

Attach Files

Online Job Application

Online Job Application

Personal Data

Position Objective

General Information

Education

Higher Education

Reference #1

Reference #2

Employment History

Job #1 All fields required if applicable

Job #2 All fields required if applicable