Are you 18 years of age or older?:	Yes   No
After Employment, can you provide proof that you are allowed to work in the U.S?:	Yes   No

* Which position(s) are you interested in?:	Attractions Attendant Cashier/Redemption (Front Counter) Party Host/Hostess Receptionist
* When would you be available to start?:
* Expected starting wage:	$8.00-$8.50$8.50-$9.00$9.00-$9.50$9.50-$10.00
* Have you interviewed with us in the last 6 months?:	Yes   No
* Were you referred by a current employee?:	Yes   No
If yes, please provide their name:
* How did you hear about the job?:	Mulligan WebsiteFriendEl Camino CollegeLos Angeles Harbor CollegeOther

Please indicate the times that you are available to work each day of the week.

Day	From	To	And/Or	From	To
Monday			AndOr
Tuesday			AndOr
Wednesday			AndOr
Thursday			AndOr
Friday			AndOr
Saturday			AndOr
Sunday			AndOr
* If offered a position, are you able to commit to this availability for at least 6 months.:	Yes   No

* Have you ever worked for Mulligans previously?:	Yes   No

       

If you have worked for us previously... Did you leave Mulligan's voluntarily?:	Yes   No
Please provide exact reason(s) for leaving:
Which location did you work in?:	TorranceMurrietaPalmdaleCorporate
When did you work for us last?:

 

Employer Name and Address:
Starting Date:
Leaving Date:
Starting Salary:
Final Salary:
Name of Supervisor:
Supervisor Phone #:
Description of Work:
Termination Type:	Voluntary   Seasonal   Involuntary
Exact Reason(s) for leaving:
Employer Name and Address (2):
Starting Date (2):
Leaving Date (2):
Starting Salary (2):
Final Salary (2):
Name of Supervisor (2):
Supervisor Phone # (2):
Description of Work (2):
Termination Type (2):	Voluntary   Seasonal   Involuntary
Exact Reason(s) for leaving (2):
Employer Name and Address (3):
Starting Date (3):
Leaving Date (3):
Starting Salary (3):
Final Salary (3):
Name of Supervisor (3):
Supervisor Phone # (3):
Description of Work (3):
Termination Type:	Voluntary   Seasonal   Involuntary
Exact Reason(s) for leaving (3):

	NAME	LOCATION	# YEARS ATTENDED	GRADUATED?	MAJOR/MINOR?
High School				Yes No
College				Yes No
Graduate School				Yes No

Are you able to perform the essential functions of the job for which you are applying with or without accommodation?:

Yes   No

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)?:

Yes   No

If Yes, How many times?:

Explain fully each conviction (and guilty or nolo contendere plea):

* Do not identify marijuana-related misdemeanor convictions occurring more than two years ago or convictions for which the criminal record has been expunged, sealed, or eradicated by the court, or misdemeanor convictions for which any probation has been completed and the case dismissed by the court.

NAME	COMPANY / RELATIONSHIP	POSITION	PHONE
*			*
*			*

Initial	Statement
*	"I declare under penalty of perjury that the information contained in this application and any resume or other documentation submitted is true and complete to the best of my knowledge."
*	"I understand that any false information or significant omissions will disqualify me from further consideration for employment, and will be justification for my dismissal from employment, if discovered at a later date."
*	"I agree to immediately notify the Company if I should be convicted of any crime while my job application is pending or during my period of employment, if hired."
*	"I give permission for a pre-employment drug screening exam."
*	"I give permission for a complete employment background check."
*	"I consent to the appropriate release of any and all medical information, as may be deemed necessary."
Agreement For At-Will Employment
*	"I understand and acknowledge that my employment will be at-will, and may be terminated with or without cause, and with or without notice, at any time at the option of myself or the Company. Only the President of the Company has the authority to enter into an employment agreement for a specified period of time or for the termination only for cause, and any such agreement must be in writing. Except to the extent I am covered by such a written agreement, I understand and acknowledge that this constitutes the entire agreement between me and the Company regarding the term of my employment and supersedes any other oral or written agreement."
Compliance With Rules
*	"HONESTY - This is our number one priority and should be in any job! Being with such close contact with our guests, co-workers, and management, honesty plays a major part in the application and interview process. Honesty in our business means accurate cash handling, proper use of tools and inventory controls. This also means that your family and friends do not receive services free."
*	"SCHEDULE - We expect you to work the days you are scheduled and be on time. Tardiness and absenteeism are not acceptable. You should expect that due to the nature of our business, you will be required to work evenings, weekends, summer months and holiday periods."
*	"APPEARANCE - All employees are expected to wear required uniform at all times. No other attire is acceptable. Personal hygiene is very important because of the close contact with guests."
Release
*	"I authorize the investigation of all statements contained in the Employment Application Form (and accompanying resume, if any) and further authorize any person, school, current employer (except as expressly noted), past employer(s), and organizations named in the Employment Application Form (and accompanying resume, if any) to provide the Company with records, information, and opinion that may be useful in making a hiring decision. I release all informants from all liability for any damage that may result from furnishing information and opinion (which is truthful or made in good faith) to the Company."

* Signature (type name):
* Date: