Join Our Team


Mike Anderson’s Seafood Team Member Application

 
STEP ONE
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status.
Date *
Date
Today’s Date
Preferred Location *
How did you find out about this job? *
Have you interviewed with us before and/or filled out the personality survey previously? *
Are you seeking full time, part time, or temporary employment? *
Please provide your availability for each day of the week and list the shift you can work: (B)reakfast (L)unch (D)inner)
APPLICANT INFORMATION
Name *
Name
Address *
Address
Phone Number
Phone Number
Are you willing to work the following:
(Please select appropriate answer if yes)
Are you currently employed? *
If hired, when would you be able to start? *
If hired, when would you be able to start?
Explain:
Are you at least 18 years old? *
If you are under 18 years of age, can you furnish a work permit? *
Are you legally eligible for employment in the U.S.? *
(Proof of U.S. citizenship or immigration status is required if hired.)
Have you ever pled “guilty” or “no contest” to or been convicted of a crime? *
SPECIAL SKILLS, QUALIFICATIONS & CONSIDERATIONS
Summarize special skills, talents, and qualifications, volunteer activities, military experience, employment or other activities related to and may assist you in the job you are applying for:
(Please select highest level achieved)
(Please select highest level achieved)
(Please select highest level achieved)
Personal References
(Please include Name, Relationship, Years Known & Phone Number)
Have you ever been suspended, discharged (fired), or asked to resign from any previous employer? *
WORK HISTORY
(Please begin with most to least recent employment)
Company Address
Company Address
Company Phone Number
Company Phone Number
(Please list beginning & ending salary)
Company Address
Company Address
Company Phone Number
Company Phone Number
(Please list beginning & ending salary)
Company Address
Company Address
Company Phone Number
Company Phone Number
(Please list beginning & ending salary)
Have you worked for any of these organizations or attended school under a different name? *
May we contact all of the employers listed above?
Authorizations & At-Will Employment Agreement (please read carefully, then sign and date below)
I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification form my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired. I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician. AT-WILL EMPLOYMENT AGREEMENT I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company’s President is authorized to change the employment-at-will status and such a change can only be done in writing. I have read, understand, and agree to the above.
Name
Name
I hereby agree to the conditions stated above and the digital name listed herein serves as my personal signature.
Date of Signature
Date of Signature