Team Members

We consider all applicants for positions without regard to race, color, religion, gender, age, national origin, disability, military status, sexual orientation or any other characteristic protected by applicable federal or state law. This application shall be considered active for a period of 60 days. Any applicant wishing to be considered for employment beyond this time period should complete another application.
How did you hear about us?
Source:
Personal Information
First name:	Street address:
Last name:	City:
Middle:	State/Territory:
Home Phone:	ZIP/Postal code:
Business Phone:	Country:
E-mail Address:	Résumé:
		(Click browse to upload your résumé)
Additional Information
What is your preferred store location?
State:
City:
Street Address:
If hired, can you furnish proof that you are 16 years of age?
Proof of Age:
If under 16, do you have an age certificate?
Age Certificate:
When can you start?
Date Available:
Shift preferred?
Shift Preference:
Number of hours you would like to work per week
Hours Per Week:
Are there any hours, shifts or days you cannot or will not work?
Days Hours Unavailable:
Are you willing to work overtime as required?
Overtime:
If hired, can you provide proof that you are eligible to work in the United States? (for example, Driver's License, State issued ID, Social Security Card, Birth Certificate, School ID, Military ID, Certificate of Naturalization or Citizenship)
Proof of Eligibility:
Have you been convicted of a felony in the past 10 years? Note: A yes answer does not automatically disqualify you from employment. The nature and date of the offense, and type of job for which you are applying will be considered. If yes, please explain:
Conviction:	Conviction Details:
Can you perform the essential functions of this position with or without reasonable accommodation?
Special Accommodations:
Have you worked at Taco John's before? If yes, please give dates and location.
Previous Employee:	Previous Details:
Employment
*Please provide work history for your three most recent jobs:*
Employer 1
Company Name:	Date From:
Company Address:	Date To:
Company Phone:	Job Title:
Supervisor Name:	Final Rate of Pay:
	Reason For Leaving:
	Eligible for Rehire:
Employer 2
Company Name:	Date From:
Company Address:	Date To:
Company Phone:	Job Title:
Supervisor Name:	Final Rate of Pay:
	Reason For Leaving:
	Eligible for Rehire:
Employer 3
Company Name:	Date From:
Company Address:	Date To:
Company Phone:	Job Title:
Supervisor Name:	Final Rate of Pay:
	Reason For Leaving:
	Eligible for Rehire:
Applicant's Authorization and Certification
I certify that the facts set forth in this Employment Information Sheet are true and complete to the best of my knowledge. I understand that if I am employed, false statements may result in dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you. I understand that employment at this restaurant is "at will" which means that either I or this restaurant can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by law. All employment is continued on that basis I agree to abide by all terms of employment including any alterations authorized by my employer. I understand this application is good for only sixty (60) days from today's date. If I still desire a position with the restaurant after this period, it will be my responsibility to fill out a new application and file it with the restaurant. Otherwise, the restaurant will not consider me for employment after this application expires.
Electronic Signature:
Electronic Date:
Voluntary Equal Opportunity Questionnaire
As an equal opportunity employer, we hire without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability. We invite you to complete the optional self-identification fields below used for compliance with government regulations and record-keeping guidelines.
Gender:
Race:
Veteran/Disability:

First Name		Last Name
E-mail		Birthday
Zip Code		Location:
I agree to the Terms of Use

How did you hear about us?

Personal Information

Additional Information

Shift preferred?

Employment

Applicant's Authorization and Certification

Voluntary Equal Opportunity Questionnaire