GREAT BEND MCDONALD'S 3307 10th Street Great Bend KS 67530 Phone: 620-792-1406 Manager: TAMI REEVES Send Comments
This restaurant is owned and operated by an independent franchisee of the McDonald's Corporation.

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McDonald's Online Crew Application

* required information

GENERAL INFORMATION
First Name *	M.I.	Last Name *	Phone Number	Email Address *
Street Address *	Apt.	City *	State *	Zip *	S.S. No
Are you 18 or older? * YES NO		If not, what is your birthdate?
Have you ever worked in a McDonald's before? * YES NO		If yes, dates? Address Reason for leaving

AVAILABILITY
Are you legally able to be employed in the U.S.? * YES NO
How did you hear about this employment opportunity?			How far do you live from restaurant?			Do you have transportation?
Total hours available per week *
Hours Available:	M	T	W	T	F	S	S
From
To

School Most Recently Attended
Name		Street Address
City	State	Zip	Phone Number
Teacher or Counselor	Dept.	Last Grade Completed	Grade Point Average
Graduated? Yes No	Now Enrolled? Yes No	Sports or Activities

Employment History: (If not applicable, list work performed on a volunteer basis or personal references.)
1) Company	Street Address
City	State	Zip
Phone Number	Job
Supervisor	Dates Worked: From	To
Rate of Pay	Reason For Leaving
2) Company	Street Address
City	State	Zip
Phone Number	Job
Supervisor	Dates Worked: From	To
Rate of Pay	Reason For Leaving
3) Company	Street Address
City	State	Zip
Phone Number	Job
Supervisor	Dates Worked: From	To
Rate of Pay	Reason For Leaving

U.S. Military
Branch of Service	Date Entered	Date of Discharge	Highest Rank
Do you have service-related skills and experience applicable to civilian employment? YES NO If yes, describe:

Were you referred to McDonald's by one of our crew members? If so, please provide us their name so we can thank them!

Name of crew member:

During the past 5 years, have you ever been convicted of, pled guilty to or pled no contest to, a crime, excluding misdemeanors and traffic violations? *
YES NO
If yes, describe in full:
(*A conviction will not necessarily bar you from employment)
Applicants are not required to disclose sealed or expunged conviction records or the existence of such records.

Are you or have you ever been a sex offender registered with any federal, state or local government agency, including any listing on a public web site? *
YES NO

I certify that I have read this application and the information on it is complete and correct. I understand that any omissions or misrepresentation of information is grounds for dismissal.
I authorize the persons, employers, schools and organizations listed on this application to give you any information concerning my employment and other pertinent information they may have, personal and otherwise, and release all parties from all liability and damages that may result from furnishing this to you.
I acknowledge that I am applying for employment with an independently owned and operated McDonald's franchisee, a separate company and employer from McDonald's Corporation and any of its subsidiaries.
I acknowledge that the owner of this McDonald's franchise reserves the right to amend or modify any of its handbooks or policies at any time and without prior notice. These policies do not create any promises or contractual rights between this employer and its employees. At this independently owned and operated McDonald's franchise, employment is at will. This means an employee is free to terminate his/her employment at any time, without any reason, with or without cause, and the franchise owner retains these same rights. The owner of this independently owned and operated McDonald's franchise is the only person who may make an exception to this, and any exception must be in writing, addressed to a particular individual, and signed by the owner.
This independent McDonald's franchise is an Equal Opportunity Employer. Various federal, state, and local laws prohibit discrimination on account of race, color, religion, sex, age, national origin, disability or veterans status. It is this McDonald's franchise policy to comply fully with these laws, as applicable, and information requested on this application will not be used for any purpose prohibited by law.
I understand that as a part of the procedure for my employment application an investigative consumer report may be made concerning my character, general reputation, personal characteristics and mode of living. Upon written request, additional disclosure concerning the complete nature and scope of the investigation will be provided. If I am denied a job based either wholly or in part because of information contained in an investigative consumer report, I will be provided the name and address of the reporting agency that supplies the information.

The company is an equal opportunity employer committed to a diverse work force. In order to assist us in our efforts, we invite you to voluntarily provide responses to the following requests for information. Failure to respond will not subject you to adverse treatment. This information shall be kept confidential and separate from your application. Information provided will be used only in accordance with the law and for equal opportunity purposes.

Sex: Male Female

Race/Color/Origin: American Indian Hispanic Asian American White Black

* By checking this box, I agree that all of the above information is accurate.

Today's Date *

McDonald's Corporation and it's independent franchisees are Equal Opportunity Employers committed to a diverse and inclusive workforce.