Employment Questionnaire for Landfall/Candy Go Nuts
Position applied for:______________________________
If application is considered favorably, date you could start working:_________________
If you work at Landfall/Candy Go Nuts this year, what is the exact date you would have to leave? _________________
| Home Address (where we should send W-2 form) | School Address (if applicant is a student) | ||
| Name |  |
Name | |
| Address | Address | ||
| State/Zip | State/Zip | ||
| Home Phone | School Phone | ||
| Best phone to be contacted at: | |||
Social Security number______________________________
Age_________________
How did you hear of Landfall/Candy Go Nuts? ____________________________________________________
Do you know anyone who worked here? _____________________________
Do you consider yourself an experienced restaurant or hotel worker as a result of prior duty in a commercial restaurant or hotel with full luncheon or dinner service? _______________________________
Students Only: (Please tell us about your school)
What school do you attend? _______________________________
What year are you? ________________________________
When does your school's calendar year end? ____________________
When does your school's calendar year begin? ____________________
Please tell us about your employment history.
List below all present and past employment. Begin with most recent job.
| Company Name/Address | Type of Business | Position | Supervisor (reference) |
| Start Date (mm/dd/yr) | End Date (mm/dd/yr) | Phone Number | |
| Reason for Leaving | |||
| Company Name/Address | Type of Business | Position | Supervisor (reference) |
| Start Date (mm/dd/yr) | End Date (mm/dd/yr) | Phone Number | |
| Reason for Leaving | |||
| Company Name/Address | Type of Business | Position | Supervisor (reference) |
| Start Date (mm/dd/yr) | End Date (mm/dd/yr) | Phone Number | |
| Reason for Leaving | |||
| Company Name/Address | Type of Business | Position | Supervisor (reference) |
| Start Date (mm/dd/yr) | End Date (mm/dd/yr) | Phone Number | |
| Reason for Leaving | |||
Please send this form and the supporting papers to us as soon as possible at the following address:
Landfall RestaurantThank you for your interest.
P.O. Box 107
Woods Hole, MA 02543
The Estes