* What is your social security number?:

* Have you ever worked for Taco del Sol?:

Yes   No

* Are you 18 years or older?:

Yes   No

* If hired, can you provide proof that you are eligible to work in the United States?:

Yes   No

* Have you ever been convicted of a criminal offense? (convictions will not necessarily result in the denial of employment):

Yes   No

* Have you ever been convicted of a felony? (convictions will not necessarily result in the denial of employment):

Yes   No

If "Yes" to either criminal conviction question above, please provide details including the naure of the crime(s), dates, and location:

* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:

Yes   No

If no, please explain:

* When would you be available to begin work?:

* Type of employment desired:

Full-Time Part-Time

* Are you currently employed?:

Yes   No

If so may we inquire of your present employer?:

Yes   No

If presently employed, why are you considering leaving?:

* How did you hear about Taco del Sol?:

Word of mouth Current Taco Del Sol employee Friend I am a regular customer Other

Please list all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location	Did you Graduate?	Degree Received	Subjects Studied/Major
	Yes   No
	Yes   No
	Yes   No

Please provide your employment history for the last three years, starting with your current or most recent employment

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	May we Contact?
		Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
		End:

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	May we Contact?
		Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
		Start: End:

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	May we Contact?
		Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
		Start: End:

Name	Relationship	Phone Number	Email

I certify that all the information I have provided on this application is true and accurate. I understand misstatements, omissions, or false and/or misleading statements which I have provided on this application, on my resume and/or in interview(s) shall constitute grounds for refusal to hire or immediate termination from employment.

I authorize the release to Taco del Sol of information held by any parties regarding my previous employment, criminal history record, and/or record of convictions in state and local files for violations of any federal, state, local statutes or ordinances, military records, credit history, driving records, and scholastic records and hereby release said persons, schools, companies, government agencies, court and law enforcement agencies from any damages whatsoever for releasing this information.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand I am required to abide by all rules and policies of the company and have read and understand the above.

* Signature (type name):

* Date: