16808 Wal Mart Americas — Castro Enterprises INC.

Name

First Name

Last Name

Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you over the age of 18?

Yes

Are you legally eligible to be employed in the United States?

Position Desired*

Do you have transportation to work?

Yes

Have you ever worked for a McDonald's before?

Yes

If yes, when and which McDonald's restaurant?

When are you available to begin working?

Please share with us, in detail, your availability for work.

For Monday - Sunday and what time of day you are available. (Example: Monday - Morning and Evening / Tuesday - Afternoon / Wednesday - All Day)

Most Recent Employer

Please share with us your most recent employment experience. The company you worked for, your responsibilities, your rate of pay and how long you worked there for (Date of hire / Date of departure)

Most recent employer phone number

(###)

###

####

Reason for leaving previous employer

May we contact this employer for a reference?

Yes

Education

Please provide us the name and location of your most recent school

Degree, Diploma, or highest level of education

Disclosure and Release

Have you ever been convicted of, plead guilty to or plead no contest to, a crime excluding misdemeanors and traffic violations?

If yes, please explain

Are you or have you ever been a sex offender registered with any state, federal or local government agency, including any listing on a public website?

Yes

I understand I am applying for employment with a McDonald's franchise, independent owner and operator. I certify that my answers are true and complete to the best of my knowledge, and I understand that any misrepresentation or omission of material fact will constitute grounds for immediate dismissal. I authorize companies, schools, and persons named above, and others, to furnish the above named employer with any information they may have regarding me. I agree that such companies, schools, persons, and others, shall not be liable in any respect if my employment is terminated because of misrepresentation or omission of material facts in this questionnaire. I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the above named employer and me for either employment or for the providing of any benefit, and that my employers personnel policies and/or handbooks do not constitute an employment contract. I may be discharged at any time, with or without cause, and with or without notice, at any time, either at my option or at the option of my employer.

Please type your full name followed by the date to reflect a signature of acknowledgement to the statement above.

#16808 Wal Mart Americas

Application for hire

Thank you for your interest in joining our team! A member of our McFamilia will be in contact soon.