Name *

First Name

Last Name

Phone

(###)

###

####

Are you able to provide proof of US citizenship or immigration status? *

Proof of authorization to work in the United States will be required for employment.

Yes

No

Are you older than: *

16

18

21

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you been convicted of a felony? *

Yes

No

Positions applying for: *

Bartender

Busser

Dishwasher

Food Runner

Host/Hostess

Line Cook

Management

Prep Cook

Server

Other

Are you looking for full-time or part-time employment? *

Full Time

Part Time

When can you start working? *

MM

DD

YYYY

Work schedule availability: *

Available to work overtime

Available to work day shifts

Available to work night shifts

Available to work split shifts

Are you TIPS Certified?

Yes

No

If yes, do you have a TIPS Certification Card?

Yes

No

Are you Serve Safe certified?

Yes

No

Authorization and At-Will Employment Agreement *

(please read carefully then sign and 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 consideration for employment and may be justification for my dismissal from employment. I agree to immediately notify this company if I am convicted of a crime while this 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 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, i n 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 this company and me. In addition, I understand and agree that if this company employs 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 this company’s President is authorized to change the employment-at-will status and such a change can only be done in writing. I have read, understand and agree to the above.

I agree