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Apply for Crew Member

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Crew Member
ID:C'Ville
Department:Hourly
Location:Collierville
Contact Information
* Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Captain D's General
PERSONAL INFORMATION
* Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment):
Yes   No
* Are you at least 18 years or older? (If no, you may be required to provide authorization to work):
Yes   No
* Have you ever been convicted of a felony or a misdemeanor which resulted in imprisonment within the last seven years? (A conviction will not necessarily result in the denial of employment):
Yes   No
If Yes, please explain:
* Have you ever worked for Captain D's before?:
Yes   No
If Yes, please provide details (Where/When/Job Title):
* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:
Yes   No
If no, please explain:

EMPLOYMENT DESIRED
* When would you be available to begin work?:
* Type of employment desired:
Full-Time
Part Time
Seasonal
* Hourly rate/salary desired:
* Are you currently employed?:
Yes   No
If so may we inquire of your present employer?:
Yes   No
If presently employed, why are you considering leaving?:

EDUCATION
Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location Did you Graduate?
If not, how many years
did you complete?
Degree Received Subjects Studied/Major

If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe:

EMPLOYMENT HISTORY
Give your full employment record, starting with your current or most recent employment

Current Employer

From/To:
Employer Name & Address:
Employer Phone:
Job Title:
Supervisor Name & Title:
Duties:
Reason for Leaving:
Hourly Rate / Salary:

Previous Employer

From/To:
Employer Name & Address:
Employer Phone:
Job Title:
Supervisor Name & Title:
Duties:
Reason for Leaving:
Hourly Rate / Salary:

Previous Employer

From/To:
Employer Name & Address:
Employer Phone:
Job Title:
Supervisor Name & Title:
Duties:
Reason for Leaving:
Hourly Rate / Salary:

REFERENCES List three references (not relatives or former employers)

Name Relationship Phone Number

AUTHORIZATION
The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

* Signature (type name):
* Date:
Questions Section 1
The following questionnaire consists of statements that describe work related behaviors and attitudes. Please choose to what extent you agree or disagree with the statement based on the following rating scale: Strongly Agree Agree Neutral Disagree Strongly Disagree
* Employers have the right to expect all employees to be hard working and reliable.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* It is expected that most people will call in sick a few times per year just to avoid going to work.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Each employee is in full control of his or her career success.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* I am not bothered by disorganization.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Most companies do not place much importance on the needs of their employees.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Even though one may feel perfectly fine, there are times you just wake up and know you can't go into work.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Being reliable depends more on luck than one's own control some days.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* At times, in order to reach my goals, I have to make promises I know I can't keep.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* People have little control over their own actions.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Overall, being dependable is a more valued personality trait than being impulsive.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Questions Section 2
* Deadlines on projects have a negative impact on how productive one can be.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* I am annoyed with people who show up late to a meeting, even if it is only by a few minutes.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* If I complete all but one of the projects I have been asked to do, I feel I have been a success.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* All employees are responsible for the actions they take.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* The people I work with would say I am more impulsive than predictable.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Success is more related to how hard one works rather than to how lucky one is.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Setting goals and planning for the future in today's changing business world is a waste of time and effort.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* As with most people, there have been times when I have not been as reliable as I could have been.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Behind most successful people has been a well-laid-out plan.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* All employees should be expected to reach realistic goals.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Questions Section 3
* Most people have been fired from a job at least once.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* To be productive, employees need to be able to bend the rules a bit.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* The more rules a company has in place, the more employees feel the need to break them.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* It is unusual for one to be fired from one's job.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Employees are generally honest and rarely call in sick unless they really are ill.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Company rules need to be enforced more strictly.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* One should always take the time to understand the company's rules and procedures.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Generally speaking, most people follow the rules.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Most employees will call in sick when they want a day off from work.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* My supervisors have always treated me fairly and honestly.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Questions Section 4
* In today's environment, there are few people who can be trusted.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Honesty is always the best policy.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* People will tell a lie if they can gain from it.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Generally, one can trust one's coworkers.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* It is normal for someone to steal at least once in his or her life.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Successful managers are fair and honest.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Telling the truth is always the best policy, even if it creates conflict among coworkers.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* Most people I work with are honest and trustworthy.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* There are few employees who can be trusted.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
* There is nothing wrong with buying stolen property if one does not know where it came from.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred - a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5,1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.

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