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Note: A red asterisk (
*
) by a field indicates that it is a required field.
*
Indicates required field
Name (First and Last)
*
Email address
*
Address Line 1
*
Address Line 2
*
BEST telephone number to reach you at?
*
City, State, Zip Code
*
Can you provide proof of eligibility to work in the United States?
*
Yes
No
Note: Proof of eligibility to work includes either (1) a valid U.S. Passport OR (2) a State-issued ID or Drivers License PLUS a valid Social Security Card. There are other combinations of acceptable proof,
click here for a PDF of other acceptable proof of eligibility.
Have you ever been convicted of a felony?
*
Yes
No
Desired work status?
*
Full Time
Part Time
Either Full or Part Time
What position(s) are you applying for? Please choose all that apply.
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Bartender
Server
Cook
Dish Machine Operator
What days of the week and shifts can you work? Please choose all that apply.
*
Breakfast
Lunch
Dinner
Please enter the date you are available to start work.
*
Expected pay rate? Please provide a figure, not "Open"
*
If you have military service, please provide Branch, Dates of Service, and Last Rank
*
How did you hear about this position?
*
WORK HISTORY
Employer 1 - Most Recent
Employer 2
Employer 1 Name
*
Employer 2 Name
*
Employer 1 City and State
*
Employer 2 City and State
*
Supervisor Name
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Supervisor Name
*
Title/Position Held
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Title/Position Held
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Pay Rate
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Pay Rate
*
Dates of Employment (From-To)
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Dates of Employment (From-To)
*
Reason for Leaving
*
Reason for Leaving
*
May we contact this employer?
*
Yes
No
May we contact this employer?
*
Yes
No
Employer 3
Employer 4
Employer 3 Name
*
Employer 4 Name
*
Employer 3 City and State
*
Employer 4 City and State
*
Supervisor Name
*
Title/Position Held
*
Title/Position Held
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Untitled
*
Pay Rate
*
Pay Rate
*
Dates of Employment (From-To)
*
Dates of Employment (From-To)
*
Reason for Leaving
*
Reason for Leaving
*
May we contact this employer?
*
Yes
No
May we contact this employer?
*
Yes
No
EDUCATION
High School Name
*
College/Trade School Name
*
High School City & State
*
College/Trade School City & State
*
High School Diploma Earned?
*
Yes
No
Certificate or Degree(s) Earned and Year Earned
*
Please read carefully, then click the 'Submit Application' button 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 Roadhouse 52 if I should be convicted of a crime while my job application is pending or during my employment, if hired.
I authorize Roadhouse 52 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 Roadhouse 52 and do hereby release my current and former employers from liability for providing information to Roadhouse 52.
Upon termination of my employment for whatever reason, I release Roadhouse 52 from all liability for supplying any information concerning my employment to any potential employer.
I authorize Roadhouse 52, 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.
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 Roadhouse 52 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 Roadhouse 52's officers are 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.
Submit Application
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