Employment

GENERAL

Date:

Name:
First Middle Last

EMAIL ADDRESS:

Present Address:
Street: City:
State: Zip Code: Country

If under 21:
Age: Birth Date: Note: You must be at least 16 years old to apply

Phone Number: No Phone, Neighbor's phone listed.

Are you legally able to work in the United States: Yes No
(Proof of identity and legal authority to work in the U.S. is a condition of employment)

For what position are you applying? (required)

Starting Salary Expected: $ Who referred you to Petey's:

Date available for employment:

Have your worked here before? When?

Are you restricted to working?
Certain Hours: Yes No If yes, list hours/days not available:
Certain Days: Yes No If yes, list hours/days not available:

Relatives Employed by Petey's:
Name: Relationship:
Name: Relationship:

(Relatives employed by the company will not necessarily exclude you from employment but will be considered for job placement to avoid a direct supervisory relationship between relatives.)

Former Employers
(list below last four employers starting with the most recent)

Date month and year	Name and address of employer	Salary/Position	Reason for leaving
From
To
From
To
From
To
From
To
Name and telephone # of references

(1)
(2)
(3)

I AFFIRM THAT ALL INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE. ANY MISREPRESENTATION, FALSE STATEMENT, OR OMISSION OF FACTS CALLED FOR SHALL BE GROUNDS FOR REFUSAL OF EMPLOYMENT OR IF HIRED, DISMISSAL FROM EMPLOYMENT. I UNDERSTAND THAT ANY VIOLATION OF COMPANY RULES, POLICIES, STANDARDS, AND/OR PROCEDURES SHALL BE GROUNDS FOR DISMISSAL. I AGREE TO CONFORM TO THE RULES, POLICIES, STANDARDS, AND REGULATIONS OF PETEY'S SUMMERTIME SEAFOOD. I UNDERSTAND THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME AT THE OPTION OF PETEY'S SUMMERTIME SEAFOOD ,OR MYSELF, AND I UNDERSTAND THAT NO REPRESENTATIVE OF THE COMPANY HAS THE AUTHORITY TO MAKE ANY MODIFICATIONS, EITHER VERBALLY OR IN WRITING TO THE CONTRARY. IT IS THE POLICY OF PETEY'S SUMMERTIME SEAFOOD TO HIRE ONLY U.S. CITIZENS AND ALIENS WHO ARE LAWFULLY AUTHORIZED TO WORK IN THE UNITED STATES. ALL EMPLOYEES WILL BE ASKED TO VERIFY EMPLOYMENT ELIGIBILITY PRIOR TO BEGINNING WORK.

DATE __________________ SIGNATURE OF APPLICANT _____________________

I UNDERSTAND THAT MY APPLICATION WILL REMAIN ACTIVE FOR 30 DAYS FROM THE DATE RECEIVED.

SUBMIT THIS APPLICATION VIA EMAIL

You may also print this application, complete it and mail it to :
Petey's Summertime Seafood
C/O Atlantic Four Winds Efficiencies
1215 Ocean Blvd.
Wallis Sands
Rye, NH 03870