On-line Application for Employment

Leo's and La Terraza Mexican Restaurants are an Equal Opportunity Employer, dedicated to a policy of nondiscrimination in Employment on any basis including Race, Color, Age, Sex, Religion, Disability or National Origin.

Applicants Personal Info
*First Name:
 M. I. *Last:
*Address: Apt:
*City: *State: *Zip:
*SSN: Referred By:
*Phone1:
 (Include Area Code)
 		Phone2:
 (Include Area Code)
*E-mail:

Employment Desired
*Position: *Date you can start :
*Salary:
*Restaurant you would like to work at:
Leo's - Westside Leo's - Central Leo's - Far Eastside
Leo's - Downtown La Terraza - Eastside    

*Type Of Employment
Full Time PartTime Summer Temporary
*Are You
Employed Now: Yes No		If So, May We Contact
    Present Employer?:      Yes No
*Have You Ever Applied To This Company Before? Yes No
Where: When:

Employment History (Most Recent First)
Employer 1:
Employer Name: Address:
Phone: (Include Area Code)

Type of
Business;
Department: Your Position:
Duties:
Name and Position Of Immediate Supervisor:
Employed From: Employed To:
Salary Start: Salary End:

Reason
for Leaving:
Employer 2:
Employer Name: Address:
Phone: (Include Area Code)

Type of
Business;
Department: Your Position:
Duties:
Name and Position Of Immediate Supervisor:
Employed From: Employed To:
Salary Start: Salary End:

Reason
for Leaving:

Other Experience:
In this section list any job experience not listed above that most likely relates to the job for which you are applying
Employer Name: Address:
Phone: (Include Area Code)

Type of
Business;
Department: Your Position:
Duties:
Name and Position Of Immediate Supervisor:
Employed From: Employed To:
Salary Start: Salary End:

Reason
for Leaving:

* I certify that the information provided is true and correct.

*Mandetory Fields