Job Application Form – Manila Mart

Can you reliably commute to our location (5023 Garrett Ave Beltsville MD 20705)?
YesNo

Have you had any exposure to Filipino cuisine or have any knowledge of Filipino or Asian grocery products?
YesNo

If selected for employment are you willing to submit to a background check?
YesNo

We, Manila Mart LLC, may obtain one or more “consumer reports" about you from a consumer reporting agency for employment purposes. A “consumer report” is a background screening report that may include information about your criminal history, sex offender registry status, credit history, driving history, education history, employment history, professional licenses, name, social security number, and other information about you. The information in a “consumer report” may bear on your character, general reputation, personal characteristics, and/or mode of living. “Employment purposes” includes evaluating you for employment, promotion, reassignment, or retention. The Federal Trade Commission’s staff has said that the term may apply to employees, independent contractors, independent agents, and volunteers.

By signing below, you acknowledge that: (a) you read the following Disclosure About Background Check on You (b) it is clear and conspicuous (c) you read and
understood it.

By signing below, you (a) authorize and permit us, Manila Mart LLC, to obtain “consumer reports” about you; (b) authorize any consumer reporting agency from whom we request this report to obtain information about you from any public or private information source; (c) authorize anyone to provide information about you to that consumer reporting agency; (d) authorize and instruct that consumer reporting agency to provide those reports to us; (e) authorize us to share this report with others for legitimate business purposes related to your application or relationship with us.

By signing below, you acknowledge that a fax, image, or copy of this authorization is as valid as the original.

By signing below, you make these acknowledgments and authorizations to be valid
for the duration or your application or relationship with us.

Please write your signature in the box below

Printed Name
Date

I will be able to work _____ days after I am notified that I have been hired

Position Desired
Social Media ManagerContent CreatorFront of House CashierFront of House Food & Drink ExpeditorFront of House SupervisorDishwasher/Food PrepperBack of House Food ExpeditorGeneral Kitchen Crew MemberLine Cook - Grill SpecificGeneral Kitchen Crew Member-Butcher/Meat CutterGeneral Line CookKitchen ManagerLumpia Shanghai RollerKitchen Supervisor

LOCATION

HOURS OF OPERATION