WEIRS BEACH
LOBSTER POUND
70 ENDICOTT ST
WEIRS BEACH. NH 03247



Name and Address
First Name: Last Name:
Email
Address:
City, State, Zip:  
Home Phone: Cell Phone:
Position
Which position are you applying for? 
Salary Expected: Age:
Your Date of Birth:
What are the two [2] most important factors to you in choosing a job?
Factor 1:
Factor 2:
Work Schedule
Full Time or Part Time:   When can you start?:

Can you work a flexible schedule? (different schedule every week)

  
What schedule are you available to work?  Include a.m. or p.m. for EACH ENTRY
Mon
 
 
Tue
 
 
Wed
 
 
Thur
 
 
Fri
 
 
Sat
 
 
Sun
 
Employment Status
Are you currently employed?:   If so, how many jobs do you hold?:

Is your intent to continue in your current job(s) if you work for the Weirs Beach Lobster Pound?

Are you currently a student? (or planning to go to school within the next 6 months?)

If yes, what impact does this have on your availability for work?

Are there any commitments, activities, hobbies, vacation plans, etc. that could affect your availability for work?
If Yes - explain:

Are you available to work all weekends and/or holidays?
If No - explain:
Employment Record

List most recent employer, or last employer, first. Include military service (not country of service), or any self-employed or unemployed periods. You must account for the past three (3) years or since completing school, whichever is shorter.
Present or Last Employer
Company:  
Address:  
Telephone Number:  
Date Employed: I began on  and I ended on
Last Salary:
Last Position Held:  
Last Supervisors Name:  
Be Specific - Why did you leave?  

Be Specific: Liked most about the job?

  

Be Specific: Liked least about the job?

  
Employer
Company:  
Address:  
Telephone Number:  
Date Employed: I began on  and I ended on
Last Salary:
Last Position Held:  
Last Supervisors Name:  
Be Specific - Why did you leave?  

Be Specific: Liked most about the job?

  

Be Specific: Liked least about the job?

  
Employer
Company:  
Address:  
Telephone Number:  
Date Employed: I began on  and I ended on
Last Salary:
Last Position Held:  
Last Supervisors Name:  
Be Specific - Why did you leave?  

Be Specific: Liked most about the job?

  

Be Specific: Liked least about the job?

  
Periods of Unemployment During the Past Three [3] Years
Date:  From   To
Reason for Unemployment:  
Periods of Unemployment During the Past Three [3] Years
Date:  From   To
Reason for Unemployment:  
Education
If You  Attended High School
Name of High School:  
City:  
Years Completed:  
Graduated?  
If You  Attended College
Last College Attended:  
Last Year Completed:  
Graduated:  
Major:  
Degree (if applicable):
Education and Training
Do you have any other kind of education or training?
If yes, please describe:  
Other Information
Do you own reliable transportation to get to work?
If no, please explain method of transportation you will be using:  
Have you ever been convicted of a felony?
Have you been convicted of a misdemeanor within the past five [5] years?

An applicant for employment with a sealed record on file with the Commissioner of Probation may answer "No Record" with Respect to any inquiry herein relative to prior arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer "No Record" with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecutions.
References

Give names of 2 persons (not relatives or former Employers) who have known you for 5 years or more.
Reference 1
Name:
Address:
City:
State:
Zip:
Phone:
# of years known:
Reference 2
Name:
Address:
City:
State:
Zip:
Phone:
# of years known:
       
Referral Information
How were you referred to Weirs beach Lobster Pound?  
If 'other' please explain:  
In Case of Emergency, Notify
Name:   Relationship:
Home Telephone: Cell Phone:
Work Phone: Current Address:
Conditions of Employment

WEIRS BEACH LOBSTER POUND sets high standards for its employees. Compliance with these standards is a Condition of Employment. You need to carefully consider these requirements before accepting a position with us. As an employee you will be expected to comply in full.
Customer Service
Treat customers with an exceptionally friendly attitude at all times and under all circumstances.
Attendance / Punctuality
Always report to work when scheduled. Call us before your scheduled shift when you are sick or going to be late.
Personal Appearance
Maintain a business-like appearance (dress & grooming). Wear your WBLP name badge

Would you be able to comply with all the requirements as listed?

If “no”, or your have concerns about being able to comply with any of these requirements, please explain:

  
Acknowledgements and Agreements

ALL APPLICANTS - Please read the following before submitting this application:

I hereby authorize all personnel, schools, companies, corporations, credit bureaus and law enforcement agencies to supply  any and all information pertinent to my employment and release the same from liability resulting from providing such information. WBLP has my permission to make said inquiries and I hereby release WBLP from any liability in making said request or in relying on the information received. I understand that satisfactory reports are a condition of my employment with WBLP. I further understand that my employment with WBLP will be terminated if management determines that said reports are unsatisfactory. I acknowledge that WBLP may request either prior to and/or after employment that I undergo drug testing and may request after an offer has been made, a medical exam. I consent and agree to any such exam, if required, now or in the future. I understand that when pre-employment drug testing is required, a satisfactory result is a condition of employment with WBLP. I understand that there is a seven (7) day probationary period for all employees at the end of which time I will be evaluated and considered for permanent employment.

I hereby certify that all statements and answers are complete and true. I understand that if subsequent to employment any of such statements and/or answers are found to be false or that information is omitted, such false statements or omissions will be considered grounds for termination of my employment.