Kells Irish Restaurant & Pub - Portland, Seattle & San Francisco
 

Kells - Portland - Employment Application

Please answer the following questions completely and honestly:

Position you are applying for
Date available to work
( DD/MM/YY )
First Name
Middle Name
Last Name
Address
 
City
State
Zip
Daytime Phone Number
E-Mail Address
( (XXX)XXX-XXXX )
Social Security #
Date of Birth
Can you provide a valid OLCC card?
Can you provide a food handlers card?
Can you work around cigarette smoke?
Availability
Give the days and times you can work
(Use AM or PM please)

 
(XXX-XX-XXXX)
(XX/XX/XXXX)
Sunday
to
Monday
 to
Tuesday
 to
Wednesday
 to
Thursday
 to
Friday
 to
Saturday
 to    


EMPLOYMENT HISTORY

Please complete even if submitting a resume. Use an additional account for all time since leaving High School, or the last seven years. Begin with the most recent. Include Military service and all periods of unemployment exceeding 30 days.
Company Name
Address
City
State
Phone Number
Start Date
Start Salary
End Date
End Salary
Full or Part time?
Your Title
Your Duties
Supervisors Name
Reason for leaving
( (XXX)XXX-XXXX )
( MM/YY )
( use: $XX/hr OR $XXXX/MO OR $XXXXX/yr. )
( MM/YY )
( use: $XX/hr OR $XXXX/MO OR $XXXXX/yr. )
Company Name
Address
City
State
Phone Number
Start Date
Start Salary
End Date
End Salary
Full or Part time?
Your Title
Your Duties
Supervisors Name
Reason for leaving
( (XXX)XXX-XXXX )
( MM/YY )
( use: $XX/hr OR $XXXX/MO OR $XXXXX/yr. )
( MM/YY )
( use: $XX/hr OR $XXXX/MO OR $XXXXX/yr. )
Company Name
Address
City
State
Phone Number
Start Date
Start Salary
End Date
End Salary
Full or Part time?
Your Title
Your Duties
Supervisors Name
Reason for leaving
( (XXX)XXX-XXXX )
( MM/YY )
( use: $XX/hr OR $XXXX/MO OR $XXXXX/yr. )
( MO/YR. )
( use: $XX/hr OR $XXXX/MO OR $XXXXX/yr. )


REFERENCES
First Name
Last Name
Address
City
State
Years Known
Daytime Phone Number
( (XXX)XXX-XXXX )
First Name
Last Name
Address
City
State
Years Known
Daytime Phone Number
( (XXX)XXX-XXXX )
First Name
Last Name
Address
City
State
Years Known
Daytime Phone Number
( (XXX)XXX-XXXX )


EMERGENCY CONTACT

First Name
Last Name
Relation to you
Work Phone
Home Phone
( (XXX)XXX-XXXX )
( (XXX)XXX-XXXX )


OTHER INFORMATION

Your job will require you to lift up to 50lbs; can you perform the position functions for which you have applied for with reasonable accommodation?

If NO please describe the function(s) you are unable to perform:
Have you ever been convicted of a felony or a crime which is related to the functions or qualifications of the position for which you are applying?
(A conviction record will not necessarily be a bar to employment.)

If YES please describe fully the criminal conviction(s), listing the nature of the offense(s), your age at the time and any rehabilitation since the conviction(s):
Are you able, at the time of employment, to submit verification of your legal right to work in the US?

NOTE: If hired you must complete the I-9 form.


IMPORTANT, PLEASE READ:

1. I DECLARE THAT ALL STATEMENTS AND ANSWERS IN THIS APPLICATION ARE TRUE AND COMPLETE AND AGREE THAT ANY UNTRUTH, MISLEADING ANSWER, OMISSION, CONCEALMENT OR FAILURE TO ANSWER ANY QUESTION FULLY, COMPLETELY AND ACCURATELY WILL BE GROUNDS FOR TERMINATING MY EMPLOYMENT IRRESPECTIVE OF WHEN IT IS DISCOVERED.
2. I AUTHORIZE MY EMPLOYER OR MY EMPLOYER'S AGENT TO INVESTIGATE MY REFERENCES, TO COMMUNICATE WITH MY FORMER EMPLOYERS CONCERNING THE SAME, AND TO MAKE AN INDEPENDENT INVESTIGATION OF MY CHARACTER, CONDUCT ANDEMPLOYMENT RECORD AND TO KEEP AND PRESERVE RECORDS OF SUCH INVESTIGATIONS. ADDITIONALLY, I RELEASE ALLPARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING INFORMATION TO KELLS.
3. I AGREE THAT UPON TERMINATION OF MY EMPLOYMENT, I WILL RETURN ALL COMPANY PROPERTY AND RECORDS IN MY POSSESSION.
4. IF EMPLOYED, I AGREE TO READ AND COMPLY WITH COMPANY RULES, REGULATIONS AND POLICIES.
5. I UNDERSTAND THAT ALL EMPLOYEES OF THE COMPANY ARE EMPLOYEES AT WILL, AND AS SUCH, ARE FREE TO RESIGN AT ANY TIME WITHOUT REASON. THE COMPANY, LIKEWISE, RETAINS THE RIGHT TO TERMINATE AN EMPLOYEE'S EMPLOYMENT AT ANY TIME WITHOUT REASON OR NOTICE. NOTHING CONTAINED IN THE EMPLOYEE PACKET OR ANY OTHER DOCUMENT PROVIDED TO THE EMPLOYEE IS INTENDED TO BE, NOR SHOULD IT BE, CONSTRUED AS A GUARANTEE THAT EMPLOYMENT OR ANY BENEFIT WILL BE CONTINUED FOR ANY PERIOD OF TIME. ANY SALARY FIGURES PROVIDED TO AN EMPLOYEE IN ANNUAL OR MONTHLY TERMS ARE STATED FOR THE SAKE OF CONVENIENCE OR TO FACILITATE COMPARISONS AND ARE NOT INTENDED AND DO NOT CREATE AN EMPLOYMENT CONTRACT FOR ANY SPECIFIC PERIOD OF TIME.


Do you agree with the above terms and conditions?

 
AS AN EQUAL OPPORTUNITY EMPLOYER, KELLS, INC. CONSIDERS APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL PREFERENCE, NATIONAL ORIGIN, OR TO THE EXTENT PROVIDED BY LAW, AGE, MARITAL STATUS, PREGNANCY, MEDICAL CONDITION, ANY PHYSICAL DISABILITY OR ANY OTHER PROTECTED CLASS BY FEDERAL, STATE OR LOCAL STATUTE.

 

Please verify all information entered prior to application submission. Thank you!