McDONALD’s® RESTAURANT MINI-APPLICATION:

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 STORE LOCATION: BERNE____  DECATUR____  SOCIAL SECURITY #_________________

 

 NAME______________________________________________________________________

             FIRST               MIDDLE               LAST

 

 STREET ADDRESS________________________________________  APT./BOX #________

 

 CITY__________________  STATE________  ZIP________  TELEPHONE_____________

 

 ARE YOU 18 OR OLDER?  YES____ NO____  IF NOT 18, YOUR CURRENT AGE_________

 

 EVER WORKED FOR McDONALD’s® BEFORE?

 IF YES, DATES AND LOCATION(S)_____________________________________________

 

AVAILABILITY:

============     -------------------------------------------

 HOURS AVAILABLE |  M  |  T  |  W  |  T  |  F  |  S  |  S  |   TOTAL HOURS

                 -------------------------------------------    AVAILABLE

           FROM: |_____|_____|_____|_____|_____|_____|_____|    PER WEEK:

 

             TO: |_____|_____|_____|_____|_____|_____|_____|    _________

 

 ARE YOU LEGALLY ABLE TO                    HOW DID YOU

 BE EMPLOYED IN THE U.S.?  YES____ NO____   HEAR OF JOB?___________________

 HOW FAR DO YOU                             DO YOU HAVE

 LIVE FROM STORE?________________________   TRANSPORTATION?________________

 

SCHOOL MOST RECENTLY ATTENDED:

=============================

 NAME__________________________________  LOCATION__________________________

 

 TELEPHONE__________________  TEACHER/COUNSELOR____________________________

 

 LAST GRADE COMPLETED_________  G.P.A._________  GRADUATED?  YES____ NO____

 

 NOW ENROLLED?  YES____ NO____  ACTIVITIES/SPORTS__________________________

 

MOST RECENT JOBS: (If n/a, list volunteer work and/or personal references.)

================

¹COMPANY______________________________  LOCATION___________________________

 

 TELEPHONE_______________  WORK PERFORMED__________________________________

 

 SUPERVISOR_______________________  DATES WORKED___________________________

 

 SALARY___________  REASON FOR LEAVING_____________________________________

 

²COMPANY______________________________  LOCATION___________________________

 

 TELEPHONE_______________  WORK PERFORMED__________________________________

 

 SUPERVISOR_______________________  DATES WORKED___________________________

 

 SALARY___________  REASON FOR LEAVING_____________________________________

 

 SIGNATURE________________________________  DATE___________________________

 

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  Complete this application and return to your local Berne or Decatur, IN

  McDonald’s®, or mail to: Ber-Dec™, Inc.,

                           dba/McDonald’s® Restaurants

                           P.O. Box 123

                           Berne, IN  46711-0123

                   fax to: 260.368.9970

                e-mail to: mickey.d@ber-dec.com

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