Vista Drive In Employment Application
     General Information    

Last Name:     First Name:     MI     SSN#   PH.#
Address:     City:     State:     Zip Code:
Are you at least 16?      Position Desired:
Permanent or Temporary:      Full Time or Part Time:
How did you come in contact with Vista?     When can you start?
   Do you have transportation?    Are you currently employed?     May we contact your latest employer?

     Education Information    

College:     Address:     Major:    
# of Years:     Degree?
High School:     Address:     Major:    
# of Years:     Degree?
Other:     Address:     Major:    
# of Years:     Degree?

     Employment Information (list most recent job first)    

Company:     Phone #     Name of Supervisor:    
Employed From:     To:      Starting Wage:      Ending Wage:
Reason for leaving:

Company:     Phone #     Name of Supervisor:    
Employed From:     To:      Starting Wage:      Ending Wage:
Reason for leaving:

Company:     Phone #     Name of Supervisor:    
Employed From:     To:      Starting Wage:      Ending Wage:
Reason for leaving:

     Personal Reference (Not a former employer or relative)    

Name:      Relationship or Title:     Phone #
Name:      Relationship or Title:     Phone #

     Personal Information    

If you are now employed, why do you want to make a change?

     Personal Comments    

What are your personal strengths and weaknesses?
What achievement in life has given you the greatest since of pride?
What traits do you posses that make you qualified for this job?
As a customer, what are the things you look for in an establishment that determines whether or not you will return?
Please list in order of importance.
1.
2.
3.
4.
5.

I certify that the information given in this application is correct to the best of my knowledge and understand that falsification of this information is grounds for dismissal in accordance with our companies' policy. I authorize the references to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise and release all parties from all liability for any damage that may result from furnishing the same to you. Also, I understand that no representative of the company has the authority to enter into any agreement for employment for any specified period of time, nor am I obligated to work for the company for any specified period of time.
Initial if you have read and agree to the preceding: