Captain Joe's Seafood Restaurants.
Employment Application - Midway, Georgia

All requested information in the application is needed by the Captain Joe's Corporation. The Civil Rights Act of 1964 prohibits dsicrimination in employment, therefore all prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap, or veteran status.

Tell Us About Yourself...

Your Name:
    

Street Address:
    

City: , State: ZIP:

Phone Number w/ Area Code:
    

E-Mail Address:
    

Social Security Number:
    

Sex:
    

Marital Status:
    

Number of dependents, including yourself:
    

Birhdate:
    


Have you ever applied for employment with us before?
    

If, yes, when and where?
    

Have you ever been employed by any Captain Joe's?
    

If, yes, when and where?
    

Supervisor's Name:
    

Position Desired:
    

Pay Expected:
    

Are you available for full-time work?
    

Will you work overtime if asked?
    

Are you legally eligible for employment in the United States?
    

When can you begin?
    

Other special training or skills (languages, machine operation, etc.):
    


Provide dates you attended school:

When did you begin attending high school?
    

When did you stop attending high school?
    

When did you begin attending college?
    

When did you stop attending college?
    

Are you a U. S. citizen?
    

Are you 16 years of age or older?
    

Have you ever been bonded?
    

Do you have transportation to work?
    

Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses which have not been annulled, expunged or sealed by a court?
    

If "yes" describe in full:
    

State names of relatives and friends working for us.
    

Have you served in the U.S. Armed Forces?
    

If "yes" what branch:
    

Describe any training received relevant to the position for which you are applying:
    


Former Employer #1
Business Name:
    
Telephone Number:
    
Dates Worked:
    
Position:
    
Supervisor:
    
Reason for Leaving:
    

Former Employer #2
Business Name:
    
Telephone Number:
    
Dates Worked:
    
Position:
    
Supervisor:
    
Reason for Leaving:
    

Former Employer #3
Business Name:
    
Telephone Number:
    
Dates Worked:
    
Position:
    
Supervisor:
    
Reason for Leaving:
    


By pressing submit, you agree that the information provided in this application for employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in dismissal.

You understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ you in the future.

If we decide to engage an investigative consumer reporting agency to report on your credit and personal history, you authorize us to do so. If a report is obtained Captain Joe's must provide, at your request, the name of the agency so you may obtain from them, the nature and substance of the information contained in the report.

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Captain Joe's Seafood
Serving Southern Georgia since 1975
Jesup - Waycross - Baxley - Midway