APPLICATION FOR HOURLY RESTAURANT EMPLOYMENT
PLEASE PRINT ALL INFORMATION. APPLICATION MUST BE COMPLETED IN FULL
WE ARE AN EQUAL OPPORTUNITY EMPLOYER.
Social Security Number
Position For Which Applying
Full Time
Part Time
PERSONAL DATA
Name
Mon. Tue. Wed. Thur. Fri.
Sat.
Sun.
$
Telephone Number
Message Number
How Long?
Home Address
Street
City
State
Zip
Due to Federal, State and Local Regulations regarding the performance of certain duties, please state:
Are you 16 years of age or older?
YesYes
No
Are you 18 years of age or older?
Yes
No
With in the past 7 years, have you ever been convicted of a crime or plead guilty or no contest to a crime other than
a minor traffic violation?
Yes
No
If yes, describe in full
( Note: Criminal convictions
are not an absolute bar to employment, and will only be considered in relation to specific job requirements).
Are you legally eligible to work in the U.S.A.?
Yes
(Note: Proof of U.S. citizenship or immigration status will be required upon employment).
No
EDUCATION
School
High School
College
Name and Location
Degree/Major/Course
Degree
U.S. MILITARY SERVICE
Branch
Location(s)
What jobs did you hold/duties performed?
From
To
EMPLOYMENT
(List last three employers, beginning with current or most recent employer)
Name, Address, and Phone Number
Position
Wage/ Supervisor
From
To
Reason May we contact?
of Employer
Salary
for Leaving
If not, why?
APPLICANT: READ ACKNOWLEDGMENT CAREFULLY
The facts set forth in this application are true and accurate to the best of my knowledge and belief.
I understand that I will not be hired to work a fixed schedule and that scheduled hours may vary from week to week depending
on business needs.
I understand that any false information I record on this application or deliberate omission of any information requested will be sufficient reason for
rejection of my application or termination of my employment. I further understand and agree that if my employment is terminated, I must immediately
return all of the corporation's property in my custody, including office keys, uniforms and manuals. I understand that completing this application does
not constitute an agreement by PepperJax Grill to employ me.
In making this application, I also understand that all information I have furnished may be investigated for verification by contacting former employers
(except where otherwise indicated herein), references, and any parties or sources who may have information PepperJax Grill deems relevant to my
employment, including criminal and educational records. I authorize PepperJax Grill and its representatives to conduct such and investigation and release
from all liability or damage those individuals, firms, or employers who may provide any such information, and PepperJax Grill in gathering such information.
I understand that if I obtain employment with PepperJax Grill, my employment will not be for a fixed period of time and that it can be terminated by the
Company, or me, with or without notice for any reason or no reason, and without liability for wages, salary or other compensation or benefits except what
I have earned as of the date of termination, or specified by federal. State. Or local law. No employee or agent of PepperJax Grill, other than a Corporate
Officer, has the authority to make additions, deletions, or modifications to this Acknowledgment.
Date
Signature
WE PARTICIPATE IN E-VERIFY
.