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Hiring Zone

Lodi, CA / St. Helena, CA Restaurant

This A&W operator ("The Franchisee") is an Equal Opportunity Employer. Applications for all job openings are welcome and will be considered without regard to race, gender, age, national origin, color, religion,
disability, sexual orientation, marital status, veteran status, or any other basis protected by applicable federal, state, or local law.

Throughout this application, "The Franchisee" refers to the independent A&W Franchisee which operates the restaurants in Lodi / St. Helena, CA. A&W, the Franchisor, is not your employer and does not own or operate this restaurant.

please tell us about yourself

Last Name
First Name
MI
Preferred Name
Current Address
City
State
ZIP
Years There
Most Recent Previous Address
City
State
ZIP
Years There
Social Security Number
Are you 16 or older?Yes   No
Home Telephone
Cell Phone
Email Address
what would you like to do at this franchise store? Team Member
Team Leader
Assistant Manager
Restaurant General Manager
Other
  Full Time   Part Time
Desired Salary/Wage
 Per Hour   Annually
How did you find out about A&W?
Availability*
   MondayFrom  
To       
   TuesdayFrom  
To       
   WednesdayFrom  
To       
   ThursdayFrom  
To       
   FridayFrom  
To       
   SaturdayFrom  
To       
   SundayFrom  
To       
*If your religious beliefs or practices prohibit you from working on a particular day or at a particular time, The Franchisee will make reasonable efforts to accommodate those beliefs or practices in accordance with applicable law.


what schools have you attended?

High School
   Name, City, State
   Diploma or Degree Received
College
   Name, City, State
   From
   To
   Diploma or Degree Received
Other
   Name, City, State
   From
   To
   Diploma or Degree Received
 

two most recent jobs

Company and Address

If currently employed, may we contact? Yes   No
Telephone
Supervisor
Dates Worked
What did you do?
Last Salary/Wage

Per Hour   Annually
Why did you leave?
 
Company and Address

If currently employed, may we contact? Yes   No
Telephone
Supervisor
Dates Worked
What did you do?
Last Salary/Wage

Per Hour   Annually
Why did you leave?
 
 

miscellaneous information

Do you have reliable transportation to get to work? Yes   No
If hired, when could you begin work?
If hired, can you show proof of your legal right to work in the United States? Yes   No
If you have worked for or have applied for employment with any of the Company Stores, Franchisees, or Licensees listed below, please check the appropriate boxes and then provide the information below. A&W
Long John Silver's
Taco Bell
KFC
Pizza Hut
Yum! Brands
Franchisee/Licensee
Company
Company and Address

If currently employed, may we contact? Yes   No
Telephone
Supervisor
Dates Worked
What did you do?
Last Salary/Wage

Per Hour   Annually
Why did you leave?
 

references (please do not include family members as references.)

Name
   Relationship to You
   How long have you known this person?
   Type of Reference (School, Work, or Personal)
   Telephone
 
Name
   Relationship to You
   How long have you known this person?
   Type of Reference (School, Work, or Personal)
   Telephone
 

other information about yourself

1. Have you ever been convicted of, or pled guilty, no contest or nolo contendere to a crime involving, in any way, violence, sex, indecency, stalking, minors, theft, property damage, weapons, dishonesty, fraud, robbery, burglary, or drugs?* Yes   No
   If you answered yes, please answer the following:
   Date of Conviction (or plea of guilty, no contest, or nolo contedre)
   Date sentence or parole completed
* Crimes include felonies and misdemeanors only, not infractions or summary offenses. You should not respond "Yes" as a result of any conviction that has been judicially sealed, annulled, expunged, erased, statutorily eradicated, dismissed by a First Offender's statute, or pardoned by the Governor. Conviction of a crime will not necessarily disqualify you from consideration for employment and will be considered only as it relates to the job in question. CALIFORNIA residents do not respond "Yes" for (i) misdemeanor convictions for which you have successfully completed or otherwise discharged probation; (ii) misdemeanor marijuana convictions if the conviction occurred more than two years ago; (iii) any past arrest or detention not resulting in a conviction; or (iv) any referral to or participation in a pretrial or post trial diversion program. HAWAII residents, you are not required to answer this question (although you will be required to answer it as to convictions within the past ten years if you receive an offer). KENTUCKY residents, do not respond "Yes" as a result of any misdemeanor conviction where the date of conviction was more than five years ago. MASSACHUSETTS residents, do not respond "Yes" as a result of any misdemeanor conviction where the date of the conviction or the completion of incarceration, whichever date is later, occurred more than five years ago. WASHINGTON residents, do not respond "Yes" if your conviction and your release from any time spent in incarceration each occurred more than ten years ago.
2. Are you currently charged with a crime involving, in any way, violence, sex, indecency, stalking, minors, theft, property damage, weapons, dishonesty, fraud, robbery, burglary, or drugs for which you have not been convicted or that has not been dismissed or otherwise resolved?** Yes   No
** Residents of ALASKA, CALIFORNIA, HAWAII, ILLINOIS, and RHODE ISLAND, do not answer this question. Residents of OREGON, VIRGINIA, and WASHINGTON, do not answer "Yes" for charges pending longer than one year.
Residents of MICHIGAN, do not answer "Yes" as a result of pending misdemeanor charges.
 

tell us more

Please check the ONE answer that best describes you.

1. How often do you get upset?

Almost Always

Frequently

Sometimes

Rarely

Never


2. In the past, what did you do when you had a conflict with another person?

Focused on what I was doing, not the conflict.

Stayed out of the way until the conflict was taken care of.

Talked to others about the conflict and the people who caused it.

Suggested ways to fix the conflict.


3. Which of the following describes your attitude about interviewing?

I believe that I can go into any interview and come out with the job.

I will not get every job I interview for, but I feel that I am a good applicant.

After I finish an interview, I feel I have as good a chance as anybody to get the job.

Interviews are tricky because you never know what the interviewer is looking for.

Interviews are scary, I don't like to do them.


4. How do you feel when people criticize you?

I tend to get angry when criticized.

I get somewhat defensive, but I can handle honest criticism.

I do not handle most criticism very well.

I welcome honest criticism, if it helps me to my job better.


5. How would people describe how well you deal with change?

Not very flexible

Less flexible than average

Average

More flexible than average

Very flexible


6. Which of the following best describes your attendance record in school?

I was absent a lot.

I was absent somewhat more than others.

I was absent, but no more than anyone else.

I was almost never absent.

I did not attend high school.


7. How would you respond to a new person at work?

Quickly get them involved in team activities.

Ask them to take a leadership role.

Talk with them about the team's needs.

Ask them to hang out with the team outside of work.

I have never been in this situation.


8. How much influence do you have on others?

Little

Some

Moderate

A lot

I do not know


9. How dependable are you?

Much less than most people

Less than most people

About the same as most people

More than most people

Much more than most people


10. Compared to other people, how often do you follow safety rules?

Much less often

Somewhat less often

About as often as others

Somewhat more often

Much more often


11. If we asked people who know you best, how fast would they say you get things done?

Much faster than others

Somewhat faster than others

About the same as others

Slower than others

I don't know


12. Compared to others, the amount of effort I put into my work is:

Much less

Less

About the same as others

More

Much more


13. If you receive too much change for a purchase, how often would you tell the cashier?

Never

Rarely

Occasionally

Frequently

Always



14. I get bored easily.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


15. Being too careful can slow you down at work.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


16. I would enjoy a job that asks me to do a lot of things.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


17. I like to work in fast-paced situations.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


18. People trust me to handle problems on my own.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


19. It is stressful to be around a lot of activity.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


20. I learn things more quickly than others.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


21. I am good at following instructions.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


22. Sometimes it is hard for me to understand what others want me to do.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


23. Others ask me for advice on how to handle a tough situation.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


24. I like trying to solve a difficult problem.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


25. I feel a responsibility to do a good job.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


26. When I do not succeed, it is probably because others got in my way.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


27. I am good at figuring out what needs to be done next and starting it.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


28. When working on a team, I feel responsible for the team's success.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


29. I am often late.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


30. I can calm down an angry person.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


31. I often volunteer for new things to do.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


32. I would be comfrtable asking people if they want to add items to the order.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


33. I would prefer not being the leader.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


34. I take my work seriously.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree


35. I make people feel good when they're around me.



strongly agree
agree
neither agree nor disagree
disagree
strongly disagree

 

agreement (please read, sign, and date below.)

Nature of my Employment. If I am hired by The Franchisee, I agree that I will be an at-will employee, which means that either I or The Franchisee may end my employment at any time, with or without cause or notice. I agree that no written materials or verbal statements by The Franchisee will constitute an express or implied contract of continued employment and that this at-will relationship can only be modified in writing by The Franchisee's head of Human Resources. I agree that, if hired, I will obey The Franchisee's rules, including treating confidentially any information I learn during my employment.

My Participation in The Franchisee's Drug Free Environment. I am not a current user of illegal drugs, and I agree I will never work under the influence of drugs or alcohol.

My Records and References. There is nothing in my background that would cause a risk to The Franchisee's customers, employees, or property. I authorize The Franchisee to conduct reference checks, criminal and driving records checks, and other consumer report investigations. I release all parties from any liability for providing such information to The Franchisee. In this regard, I understand that conviction of a crime will not necessarily disqualify me from consideration for employment. I understand that the nature and date of the offense and the relevance of the offense to the position(s) applied for will determine my eligibility for employment.

Information Certification. I certify that the information I have provided to The Franchisee is true and complete. I agree to notify The Franchisee immediately if I am later charged with any of the crimes listed above. I agree that any false information or omission allows The Franchisee to refuse to hire me, or to terminate my employment at any time.

The Dispute Resolution Program. If The Franchisee has a Dispute Resolution Program, this application requires you to arbitrate any legal dispute related to your application for employment with The Franchisee under said Program, which may require mandatory and binding arbitration under the American Arbitration Association "National Rules for the Resolution of Employment Disputes."

Applicant's Signature (typing your name here constitutes a digital signature)
Date

Information for Maryland and Massachusetts residents
Under Maryland and Massachusetts law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a lie detector or similar test. an employer who violates this law is subject to penalty.

Information for Connecticut residents
You are not required to disclose the existence of any arrest, criminal charge, or conviction, the records of which have been erased pursuant to section 46b-146, 54-76o, or 54-142. If your only criminal record consists of items that have been erased under the statutes listed above, then you may state on this form that you have not been arrested.