Keagan's Restaurant Group serving authentic Irish food in Virginia Beach, Newport News and Richmond

Step 1Personal Information
Step 2Questionaire
Step 3Education
Step 4Employment
Step 5Signature

Personal Information

* required fields

*Location:	*Positions Applying For:	Date of Birth:
*First Name:	Middle Name:	*Last Name:
*Address:
*City:	*State:	*Zip Code:
*Phone:	Alt. Phone:	Email:

*If hired when would you be able to start?

*How munch money do you need to make an hour to meet your financial obligations?

$

*Do you have reliable transportation to and from work for early and late shifts?

Yes

No

*Can you be reached by telephone on a regular basis?

Yes

No

*Are you applying for full-time or part-time position?

F/T

P/T

*How many shifts per week would you like to work?

*If hired, can you provide documents to prove your right to work in the US?

Yes

No

Have you ever:

*Pleaded no contest to a criminal charge?

Yes

No

*Pleaded guilty to a criminal charge?

Yes

No

*Been indicted by a grand jury?

Yes

No

*Been placed on probation with respect to a criminal charge?

Yes

No

*Been convicted or pleaded guilty to a felony or any act or crime of a sexual, violent, drug related or theft related nature?

Yes

No

If yes to any of the above, give charge, location, date, and describe the circumstances.

Step 1Personal Information
Step 2Questionaire
Step 3Education
Step 4Employment
Step 5Signature

Questionaire

Our requirements for personal appearance and hygiene are conservative, traditional, and strict.
*If hired do you agree to comply with our standards for personal appearance and hygiene?	Yes	No
Our uniform policy is very strict and requires staff to purchase specific articles of clothing to adhere to our uniform policy.
*If hired, do you agree to comply with our uniform standard?	Yes	No
We do not permit employee smoking while on the property.
*Are you willing to comply?	Yes	No
Keagan's does not tolerate illegal drug use or use of alcohol by minors. Keagans' does not permit consumption of alcohol by adults before or during a shift on the property.
*Do you understand these guidelines?	Yes	No
*Are you willing to comply?	Yes	No
*Do you have any schedule obligations (permanent or temporary) that we need know about?	Yes	No
What commitments do you have that may affect your schedule?
*Are you willing and able to work lunches?	Yes	No
*Are you willing and able to work dinners?	Yes	No
*Are you willing and able to work weekends?	Yes	No
*Are you willing and able to work holidays?	Yes	No
If offered a position with Keagan's Restaurant Group, how long would you plan to stay with us?
Why are you applying for a position with us?
Do you have any medical conditions that would interfere with the job description you are applying for?

Step 1Personal Information
Step 2Questionaire
Step 3Education
Step 4Employment
Step 5Signature

Education

High School Name
Address
City:	State:	Years Completed:

[+]Add College Information

College Information
College/University Name
Address
City	State	Years Completed
Did you graduate? Yes No
Degree

[+]Add a Professional School

Professional School
Professional School/Other Name
Address
City	State	Years Completed
Did you graduate? Yes No
Profession

Step 1Personal Information
Step 2Questionaire
Step 3Education
Step 4Employment
Step 5Signature

Employment

Employment 1
Dates of employment (dates should be in number format MM/YYYY)
From	To
Company Name
Address
City	State	Zip
Position Held	Salary
Company Phone		Supervisor
Reason for Leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
May we contact this employer for a reference? Yes No

[+]Add another employment history

Employment 2
Dates of employment (dates should be in number format MM/YYYY)
From	To
Company Name
Address
City	State	Zip
Position Held	Salary
Reason for Leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
Company Phone		Supervisor
May we contact this employer for a reference? Yes No

[+]Add another employment history

Employment 3
Dates of employment (dates should be in number format MM/YYYY)
From	To
Company Name
Address
City	State	Zip
Position Held	Salary
Reason for Leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
Company Phone		Supervisor
May we contact this employer for a reference? Yes No

Step 1Personal Information
Step 2Trade Information
Step 3Education
Step 4Employment
Step 5Signature

Signature

My signature authorizes any former employer, school or reference to release information about me toKeagan's Restaurant Group.

My signature authorizesKeagan's Restaurant Group. to release relevant information about me to clients ofKeagan's Restaurant Group. in order to present my qualifications, or arrange for site access or security clearance.

My signature acknowledges that the information provided by me is true and that falsification of any information is cause for immediate dismissal. It is further understood that this "at will employment" relationship may not be changed unless specifically authorized in writing byKeagan's Restaurant Group.

I certify that I have received and read theKeagan's Restaurant Group. Employee Handbook and Safety policy which are available for download on this site.

By typing your name and initials in the boxes below you are giving your digital signature, as provided by the Digital Signature Act.

Name*

Initials*

College Information

Professional School

Employment 1

Employment 2

Employment 3