Cucina Tagliani - Employment

JOB APPLICATION

Become a member of our "Family" and help us provide our guests with outstanding dining experiences - fresh, flavorful food served in a fun, friendly setting. We offer great opportunities and benefits.

Please fill out the following application, and we will contact you to setup an appointment for an interview.


* required items	Glendale - Peoria	Pre-Employment Questionnaire Smoke/Drug Free Workplace Equal Opportunity Employer

Locations^*(check at least one)


	Glendale 59th Ave. & Bell Rd		Peoria Bell Rd & Loop 101		New location

Personal Information


Last Name*	First Name*	e-Mail Address*

Present Address*		City*	State*	Zip*

Permanent Address*		City*	State*	Zip*

Home Phone*	Cell Phone	Referred By

Employment Desired


Position*	Date You Can Start*	Salary Desired*

Are You Employed?* Yes No	If So, May We Inquire of Your Last Employer?	Yes No
Ever Applied to This Company Before?* Yes No	Where?	When?

Education*


Name and Location of School	Years Attended	Year Graduated	Subjects Studied
High School
College
Trade or Business School

Schedule Availability
Enter "School", "Other Job", "Sports", "Church", etc, or any obligations that would make you unavailable for that shift on a weekly basis.
Enter "Open" in every shift you can work.
Your availability is a major factor in our decision to hire you.
This Schedule Availability should remain effective for at least the next six months.


Lunch Shifts(10:15-4:00)*
M	T	W	Th	F	Sa	Su

Dinner Shifts(4:00-10:00)*
M	T	W	Th	F	Sa	Su

Former Employers - List Below Four Employers, Starting with Last Job First


Date Mo. & Year	Name & Address of Employer	Salary	Position
From
To		Contact Person	Phone
Reason for Leaving
Date Mo. & Year	Name & Address of Employer	Salary	Position
From
To		Contact Person	Phone
Reason for Leaving
Date Mo. & Year	Name & Address of Employer	Salary	Position
From
To		Contact Person	Phone
Reason for Leaving
Date Mo. & Year	Name & Address of Employer	Salary	Position
From
To		Contact Person	Phone
Reason for Leaving

Authorization

By submitting this form, I certify that the facts contained in this application are true and complete to the best of my knowledge, and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.