ROCCO’S
Ten Tables Restaurant Group LLC
55 East Center Street
Manchester, Connecticut 06040
TEN TABLES RESTAURANT GROUP LLC AND ROCCO’S ARE EQUAL OPPORTUNITY EMPLOYERS.
DUE TO THE HIGH VOLUME OF APPLICANTS, PLEASE DO NOT CALL TO CHECK ON YOUR APPLICATION.
IF YOUR EXPERIENCE MATCHES OUR QUALIFICATIONS, WE WILL CALL YOU TO ARRANGE FOR AN INTERVIEW.
Resumes, though certainly welcome, should not be submitted in lieu of information requested below.
GENERAL
PLEASE PRINT
Name: ________________________________________________________________ Today’s Date: ________________________________
first
middle initial
last
Present Address: ___________________________________________________________________________________________________
street
city
Phone: (_________) ____________________________________
state
zip
Evening Phone: (_________) _________________________________
No
If under 21, age & date of birth:__________________________________
Are you legally able to work in the United States? Yes
(Proof of identity and legal authority to work in the U.S. is a condition of employment.)
No
Have you ever been convicted of a felony which has not been annulled or sealed by a court? Yes
If yes, please explain: (Convictions will not necessarily exclude you from employment, but date & type of conviction may be considered for job
placement.)
For what position are you applying? (specific position(s) must be indicated for this application to be considered.)
Line Cook
Food Runner/Busser
Expediter
Server
Pizza Line
Take-Out
Salad Line
Host
Prep Work
Dishwasher/Utility
Bartender
Expected Starting Hourly Rate: _________________________________________
WORK SCHEDULE AVAILABILITY
Date available for employment: ________________________________________________________________________
What hours are you available to work? We will have shifts from 8:00 AM to 2:00 AM. Please list hours in each AM/PM box.
SHIFT
MON.
TUES.
WED.
THURS.
FRI.
SAT.
SUN.
A.M.
to
to
to
to
to
to
to
P.M.
to
to
to
to
to
to
to
Are you willing to stay late in an emergency? Yes
No
Are you willing to work on holidays? Yes
No
How many hours per week do you expect to work? _________________________________________
EDUCATION & OTHER EXPERIENCE
Please include any certifications, course work or other education relevant to the position(s) for which you are applying.
Type of School
Name of School
Location of School
Courses / Major
Last Year Completed
Diploma/Degree
High School
9
10
11
12
Yes
No
College/ Other
1
2
3
4
Yes
No
OTHER EXPERIENCE: Describe any other experience, skills, abilities or hobbies that may apply.
BUSINESS EXPERIENCE
(List most recent three employers. In lieu of previous employers, please list three references.)
present (or most recent) employer
your position
street address, city, state, zip code
reason for leaving
FROM (mo/yr)
TO (mo/yr)
FROM (mo/yr)
TO (mo/yr)
FROM (mo/yr)
TO (mo/yr)
name of immediate supervisor, title & phone number – if still employed, may we contact your supervisor?
present (or most recent) employer
your position
street address, city, state, zip code
reason for leaving
name of immediate supervisor, title & phone number – if still employed, may we contact your supervisor?
present (or most recent) employer
your position
street address, city, state, zip code
reason for leaving
name of immediate supervisor, title & phone number – if still employed, may we contact your supervisor?
1.
THE ISSUANCE OF THIS APPLICATION FOR EMPLOYMENT DOES NOT INDICATE THERE ARE ANY POSITIONS OPEN AND DOES NOT IN ANY
WAY OBLIGATE TEN TABLES RESTAURANT GROUP LLC OR ROCCO’S.
2. I WILL NOT BE PAID FOR TIME SPENT WHILE APPLYING FOR A POSITION OR ANY OTHER PROCESSING PRIOR TO THE BEGINNING OF
EMPLOYMENT.
3. I AFFIRM THAT ALL INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE. ANY MISREPRESENTATION, FALSE STATEMENT, OR
OMISSION OF FACTS CALLED FOR SHALL BE GROUNDS FOR REFUSAL OF EMPLOYMENT OR IF HIRED, DISMISSAL FROM EMPLOYMENT.
4. I AUTHORIZE THE RELEASE OF INFORMATION AND INDEMNIFY FROM LIABILITY ANY CLAIMS RELATING TO THIS RELEASE, INCLUDING
RELIANCE ON THE INFORMATION, BY TEN TABLES RESTAURANT GROUP LLC AND ALL THIRD PARTIES.
5. I UNDERSTAND THAT THE INFORMATION I AM SUPPLYING AND THE AUTHORIZATION FOR THE RELEASE OF INFORMATION WILL BE USED
ONLY IN THE PURSUIT OF EMPLOYMENT OPPORTUNITIES WITH ROCCO’S OR TEN TABLES RESTAURANT GROUP LLC. OTHERWISE, THE
INFORMATION WILL BE KEPT CONFIDENTIAL, EXCEPT AS REQUIRED TO BE DISCLOSED UNDER THE USA PATRIOT ACT OR OTHER
APPLICABLE LAWS.
6. IF HIRED, I AM ON A THIRTY (30) DAY TRIAL PERIOD AND AM AN AT WILL EMPLOYEE, MEANING THAT MY EMPLOYMENT AND RELATED
COMPENSATION CAN BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME AT THE OPTION OF TEN
TABLES RESTAURANT GROUP LLC, ROCCO’S OR MYSELF, AND I UNDERSTAND THAT NO REPRESENTATIVE OF THE COMPANY HAS THE
AUTHORITY TO MAKE ANY MODIFICATIONS, EITHER VERBALLY OR IN WRITING TO THE CONTRARY.
7. ANY MISREPRESENTATION OR OMISSION OF FACTS OR ANY FALSE OR MISLEADING INFORMATION ON MY APPLICATION, RESUME, OR
DURING THE INTERVIEW MAY RESULT IN THE REFUSAL OF EMPLOYMENT OR, IF EMPLOYED, MAY RESULT IN IMMEDIATE DISMISSAL.
8. IN ACCEPTING EMPLOYMENT WITH TEN TABLES RESTAURANT GROUP LLC AND ROCCO’S, I AGREE TO ABIDE BY ALL COMPANY RULES
AND REGULATIONS WHICH ARE IN EFFECT OR MAY BE ESTABLISHED IN THE FUTURE.
9. I UNDERSTAND THAT ANY VIOLATION OF COMPANY RULES, POLICIES, STANDARDS, AND/OR PROCEDURES SHALL BE GROUNDS FOR
DISMISSAL. I AGREE TO CONFORM TO THE RULES, POLICIES, STANDARDS, AND REGULATIONS OF TEN TABLES RESTAURANT GROUP
LLC AND ROCCO’S.
10. I GIVE TEN TABLES RESTAURANT GROUP & ROCCO’S THE RIGHT TO THOROUGHLY INVESTIGATE MY BACKGROUND, INCLUDING BUT
NOT LIMITED TO: EMPLOYMENT RECORD, INCLUDING SALARY, CRIMINAL BACKGROUND CHECK AND OTHER MATTERS RELATED TO MY
SUITABILITY FOR EMPLOYMENT.
11. I UNDERSTAND THAT MY APPLICATION WILL REMAIN ACTIVE FOR 30 DAYS FROM THE DATE RECEIVED.
12. BY SIGNING ON THE SIGNATURE LINE BELOW, I ACKNOWLEDGE THAT I HAVE READ & UNDERSTAND THE ABOVE DISCLAIMER.
DATE __________________________ SIGNATURE OF APPLICANT _________________________________________________________
rev. 11.2006