Green Ghost Tacos, Inc.

Employment Application
Applicant Information
Full Name: Rios Raymond A. Date: 11/4/2022
Last First M.I.

Address: 1056 Monroe St

Street Address Apartment/Unit #

Jackson MS 39202
City State ZIP Code

Phone: 2103306410 Email Rriosjr42@gmail.com

Date Available: ASAP Social Security No.: 631646432 Desired Salary:$

Position Applied for: Bartender

Location applying for _yes___Ridgeland, Ms. Jackson, Ms. __yes__

YES NO YES NO
Are you a citizen of the United States? x If no, are you authorized to work in the U.S.?

YES NO
Have you ever worked for this company? x If yes, when?

YES NO
Have you ever been convicted of a felony? x

If yes, explain:

Education

High School: John Marshall High school Address: 8000 Lobo Ln San Antonio, TX 78240

YES NO
From: 2014 To:2017 Did you graduate? x Diploma:

College: Belhaven University Address: 1500 Peach St Jackson, MS 39202

YES NO
From: 2018 To: 2022 Did you graduate? x Degree: B.S. Computer science

Other: Address:

YES NO
From: To: Did you graduate? Degree:

References
Please list three professional references.

Full Name: Brent Webber Relationship: Co-worker

Company: Belhaven University Phone:786-395-7567

1
Address: 1500 Peach St Jackson, MS 39202

Full Name: John Works Relationship:Co-worker

Company: Belhaven University Phone:662-415-0655
Address: 1500 Peach St Jackson, MS 39202

Full Name: Nehemiah WoMack Relationship:Co-worker

Company: Belhaven University Phone:205-240-5924
Address: 1500 Peach St Jackson, MS 39202

Previous Employment

Company: Fuzzy’s Taco Shop Phone:469-579-5907

Address: 407 Eldorado Pkwy, Little Elm, TX 75068 Supervisor: Miguel

$ $10.00 Plus
Job Title: Bartender Starting Salary:tips Ending Salary:$

Responsibilities: Making drinks, serving food, providing excellent service

From: May 2022 To:Aug 2022 Reason for Leaving:school

YES NO
May we contact your previous supervisor for a reference? x

Company: Phone:
Address: Supervisor:

Job Title: Starting Salary:$ Ending Salary:$

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

Company: Phone:
Address: Supervisor:

Job Title: Starting Salary:$ Ending Salary:$

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

2
 Military Service

Branch: From: To:

Rank at Discharge: Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or
interview may result in my release.

Signature: Raymond Rios Jr. Date:11/4/2022