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What We Value
Who We Are
Join Our Team

We thank you for expressing an interest in joining Gara Restaurants Limited and the Wendy’s family. As part of the selection process, we ask that you read each question carefully and
complete all relevant questions in each section. Be assured that all information provided will
be kept strictly confidential and will be used solely for the purpose for which it was intended.

Please note that you reserve the right not to answer any question or to discontinue completing
this form at any time.

If at any time throughout your employment it is found that any information provided was
inaccurate, incomplete or misrepresented in any way, Gara Restaurants Limited reserves the
right to terminate your employment with immediate effect without notice or payment in lieu of
notice.

First Name

Middle Name

Last Name

Home Address

Mailing Address

Home Phone

Cell Phone

Gender

Male Female

Date of Birth

Nationality

Marital Status

Divorce Married Separated Single Widowed

TRN Number

NIS Number

Emergency Contact Name

Relationship to You

Emergency Contact Address

Emergency Contact Number

State all institutions in each category that you have attended or are attending and all qualifications received/pending. If you have attended a tertiary institution, you may disregard the primary level.

Tertiary

Institution

Date

From

Qualification

Comments (Achieved/Pending etc)

Trade/Skills

Institution

Date

From

Qualification

Comments (Achieved/Pending etc)

Secondary

Institution

Date

From

Qualification

Comments (Achieved/Pending etc)

Primary

Institution

Date

From

Qualification

Comments (Achieved/Pending etc)

List the last five (5) organizations/individuals for which/whom you have worked beginning with the most recent.

Employer Name

Employer Address

Position & Salary

From

Last Supervisor

Reason for Departure

Employer Name

Employer Address

Position & Salary

From

Last Supervisor

Reason for Departure

Employer Name

Employer Address

Position & Salary

From

Last Supervisor

Reason for Departure

Employer Name

Employer Address

Position & Salary

From

Last Supervisor

Reason for Departure

Employer Name

Employer Address

Position & Salary

From

Last Supervisor

Reason for Departure

List any special skills you may have

What is your career goal or ambition?

State any preference(s) you may have regarding Department/Area?

List hobbies, special interests and/or clubs or organizations to which you are a member.

What is your expected starting salary?

Please tick the one that best describes your expected salary as indicated above.

Negotiable Minimum Expectation

Are you willing to work on weekends?

Yes No

Are you willing to work on shifts?

Yes No

Are you willing to work in Public Holidays?

Yes No

Have you ever been known by any other name than provided in Section A.

Yes No

If yes, please state all such names

Do you have any relatives or friends currently working with this Company?

Yes No

If yes, please state their name(s), Department(s) and relationship to you

If the person indicated above is a friend, how long have they been known to you?

How long have you lived at your current home address (as indicated in Section A)?

Where were you living before and for how long? (Please state the full address)

Is there another address that you stay for any extended period?

Yes No

If yes, please state all such addresses

Have you ever received a below expectation rating on any performance review?

Yes No

Have you ever been reprimanded (verbally or otherwise) on the job for poor quality work?

Yes No

Have you ever been involved in any unprofessional verbal altercation with a supervisor from any of your previous employment?

Yes No

Have you ever been under investigation for any serious breach of Company Rule, Policy or Procedure which may not have resulted in disciplinary action?

Yes No

Have you ever walked off/abandoned your job?

Yes No

If yes, please state from where and for what reason(s)

Have you ever been dismissed from your job?

Yes No

If yes, please state from where and for what reason(s)

Have you ever been asked or forced to resign?

Yes No

If yes, please state from where and for what reason(s)

Have you been in any physical altercation during the last five (5) years?

Yes No

Have you ever been arrested or charged for any offense?

Yes No

If yes, were you convicted for any of these offenses?

Yes No

If yes, please state all such illnesses and/or physical impairments or disabilities

Are there any physical or environmental working conditions that may put you at risk due to your medical, mental or physical status?

Yes No

If yes, please state all such working conditions

Have you ever been absent from work for more than twenty (20) days as a result of an illness and/or physical impairment or disability?

Yes No

In this Section, you may choose to provide clarification or explanations for any response indicated above and/or provide additional declaration of any information you believe important.

I accept that I have read and understood all the questions carefully and have provided responses that are true and complete. I understand that any information found, at any time during my employment, to be inaccurate, incomplete or misrepresented in any way, renders me liable for immediate dismissal without notice or payment in lieu of notice. I also grant Gara Restaurants Limited and its representatives permission to conduct any checks deemed necessary prior to and during my employment to determine the validity of any information provided as well as to ascertain other pertinent information regarding my background and character.

Please note that it is the responsibility of the applicant to inform Gara Restaurants Limited of any change to the information provided herein.
Once again, we wish to thank you for interest in employment with Gara Restaurants Limited and look forward to you joining our team – best wishes.

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