PERSONAL INFORMATION

Name: Last: First: Middle: NIS #:

Home Address . May we contact you at work?

Telephone Cell . Work .. Yes: No:

Position applying for: Date Available: What are you interested in? (Check all that apply.)

.//.. Full-time Part-time Temporary Summer

Nationality: Please state your date of birth) .//..

Bank A/C No#: Branch: . Work Flexible: Yes No

E-mail Address: ............ Weekends Holidays Nights

How were you referred to Wendys?

In case of emergency Wendys should contact: Relation:

.. Address: .

Pho:.. Cell: .
EDUCATION
Type of School Name and Location of School Degrees/Area Number of Graduated (Check
of Study Years Attended One)
Primary Yes No
Secondary Yes No
Tertiary Yes No
Job Yes A No
Related/Trade
r
LEGAL
e
Are you a T&T citizen or do you have a legal right and necessary documents to work in T&T? Yes A No A
y
Certificate of Character required
or r
Were you ever discharged by any company? Yes A No If Yes, give name of company .
A u e e
Reason for discharge: .
r r
Have you ever been convicted for a crime other than a minor traffic violation? (Note: you are not obligated to
e e a y or y
discuss sealed or expunged records of conviction or arrest nor will such information be asked of you
o
considered in employment decisions.) The existence of a criminal record will not automatically disqualify o
you
from the job for which you are applying. Yes
y
No
y Tu u
A o A o &
If yes, please explain offense and final disposition
r u r u Ta a

e e
All employees are required to attain a Food Handler certificate which must be renewed annually by the
employee before working at Wendys. a a cT T
y y i & &
o T o T
All employees are required to wear uniforms according to Wendys standard. t T T
u & u & i
T T z c c
a a ei i
c c nt t
T i T i i i
& t & t oz z
T T
EMPLOYMENT HISTORY
List employment starting with your most recent position. Account for any time during this period that you were
unemployed by stating the nature of your activities. May we contact your present employer?
Yes A No A Past employer? Yes A No A Please indicate if you were employed under a different name.
DATES NAME AND ADDRESS OF POSITION HELD LIST MAJOR SALARY OR REASON FOR
EMPLOYER AND SUPERVISOR DUTIES WAGES LEAVING
From Name Your Job Title Starting
./.. .
(mo./yr) Address . .
To . Supervisor Final
./.. Phone
(mo./yr) .

From Name Your Job Title Starting

./.. .
(mo./yr) Address . .
To . Supervisor Final
./.. Phone
(mo./yr) .

From Name Your Job Title Starting

./.. .
(mo./yr) Address . .
To . Supervisor Final
./.. Phone
(mo./yr) .

From Name Your Job Title Starting

./.. .
(mo./yr) Address . .
To . Supervisor Final
./.. Phone
(mo./yr) .

Have you previously worked for Wendys or any of its subsidiaries? Yes A No A
Name Location .
City/State .Position Held
Supervisor ..Dates employed from: From .......To
Reason for leaving .....
REFERENCES
Business references: (do not list relatives) Please indicate if you were employed under a different name.
Name Address Work Phone No. Title Years Known
( )
( )
( )
PLEASE READ CAREFULLY
I understand that, with my authorisation, an investigation may be made whereby information is obtained regarding my
character, previous employment, general reputation, educational background, credit record and/or criminal history, subject to
applicable local laws.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may
result in immediate dismissal. I understand that receipt of this application by Wendys does not imply employment and that
this application and/or any other Wendys documents are not contracts of employment.

. .//..
Signature Date