Applicant Information

Location*

Name*

First Last

Phone*

Email*

Position Applying For (check all that apply):*

Shift Lead
Front of House Team Member
Back of House Team Member

Are you at least 18 years old?*

Yes
No

Do you have a valid Driver's License?*

Yes
No

Will you have reliable transportation if hired?*

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Describe

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Have you been convicted of a crime?*

Yes
No

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If yes, state the nature of the offense and disposition of the case.

(Massachusetts applicants should not include misdemeanor convictions; California applicants should not include marijuana-related convictions that occurred more than 2 years prior to the application date.)

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Are you a veteran?*

Yes
No

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If yes, give dates of service:

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List any special skills or training:

Employment Information

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Type of employment you are looking for (check all that apply):*

Full Time
Part Time
Temporary

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What hours and shift(s) would you prefer to work?*

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List times you are not available to work:*

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Are you willing to work overtime?*

Yes
No

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Which of the following are you willing to work (check all that apply)?*

Weekends
Holidays

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Are you currently employed?*

Yes
No

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If hired, when would you be able to start?*

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Have you ever worked for this organization before?*

Yes
No

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If yes, named used:

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Have you ever been discharged or asked to resign from any position?*

Yes
No

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If yes, please describe:

Education

(Select highest level achieved)

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Elementary School
Middle School
High School
College

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Name of school & Major (if applicable)

Work History

Resume Upload (optional):

Max. file size: 64 MB.

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Company*

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Location (City, State)*

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Dates of Employment*

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Job Title*

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Describe duties briefly:*

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Specific reason for leaving:*

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Company

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Location (City, State)

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Dates of Employment

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Job Title

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Describe duties briefly:

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Specific reason for leaving:

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Company

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Location (City, States)

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Dates of Employment

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Job Tittle

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Describe duties briefly:

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Specific reason for leaving:

Authorization & At-Will Employment Agreement

(please read carefully, then enter your name and the date below)

I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification form my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired. I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician. AT-WILL EMPLOYMENT AGREEMENT I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the companyBs President is authorized to change the employment-atwill status and such a change can only be done in writing. I have read, understand, and agree to the above.

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Name

First Last

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Date

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Application For Employment

Applicant Information

Employment Information

Education

Work History

Authorization & At-Will Employment Agreement

(please read carefully, then enter your name and the date below)

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