LJR Job Application

Apply for a Position

Please complete the form below to apply for a position with us.
Date of Application*

MonthDay Year
Date
Select the Lumberjacks location you are applying for:*

Redding, CAYuba City, CASacramento, CAGrass Valley, CAStockton, CAWillits, CAPetaluma, CASusanville, CALas Vegas, NV
Name*

First Name Last Name
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail
Phone Number*

Area Code Phone Number
Applying for Position:*
Salary Desired
Date You Can Start
Day/Month
Employment History

List the last three places of employment beginning with the most recent.
Employment #1
Date From: month/year* To: month/year*
Employer Name*
Company or Business Name
Business Phone Number*

Area Code Phone Number
Business Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Supervisor's Name*
Reason for Leaving*
Employment #2
Date From: month/year* To: month/year*
Employer Name*
Company or Business Name
Business Phone Number*

Area Code Phone Number
Business Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Supervisor's Name*
Reason for Leaving*
Employment #3
Date From: month/year* To: month/year*
Employer Name*
Company or Business Name
Business Phone Number*

Area Code Phone Number
Business Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Supervisor's Name*
Reason for Leaving*
References

List two professional references that we may contact.
Name of Reference #1*

First Name Last Name
Company or Business Name*
Phone Number*

Area Code Phone Number
Name of Reference #2*

First Name Last Name
Company or Business Name*
Phone Number*

Area Code Phone Number
Education History

Type a question*

	NAME OF SCHOOL	CITY/STATE	COURSE MAJORED IN	GRADUATED YES/NO
HIGH SCHOOL
COLLEGE
OTHER

Additional Questions
Have you ever applied at a Lumberjacks Restaurant before?*

YesNo
Have you ever worked at a Lumberjacks Restaurant before?*

YesNo
How did you hear about employment at Lumberjacks Restaurant?*

AdvertisementFriendEmployment AgencyRelativeOther
What type of work do you desire?*

Full TimePart Time
What days and times are you available to work?*
Example: Mon, Tues, Wed from 1pm - 8pm
List any days of the week or holidays that you will not be able to work:*
Example: Sundays or Christmas
In compliance with Federal and State Equal Opportunity Laws, qualified applicants are considered for all positions applied for without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, or the presence of a medical condition or disability.
Have you reviewed the essential job functions of the position you are applying for?*

YesNo
Can you perform the essential functions of this position?*

YesNo
IMPORTANT AGREEMENT

Please read the following agreement terms.
I authorize Lumberjacks Restaurant (Company) to make such investigations and inquiries of my personal, employment or financial history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application.

I understand that unless otherwise prohibited by applicable law, I may be required at any time to submit to a drug and/or alcohol test as a condition of my employment with the Company. By accepting employment, I agree to submit to such test as required by the Company, all at the Company's expense.

I understand that giving incomplete or false information in an application or interview for employment is a serious matter and is grounds for dismissal and forfeiture of related benefits. I understand that due to the character of our work at the Company, I must maintain a high level of security within the Company.

IN CONSIDERATION OF MY EMPLOYMENT, I agree to conform to the rules and regulations of the Company, and I understand that I can leave the company with or without notice, and with our without cause. Therefore, the Company reserves the same right. I understand that no manager or any company representative has authority to enter into any agreement to the contrary. I also understand that neither a Safety Manual, Employee Handbook nor any other Lumberjacks Restaurant publication changes this at-will relationship.
BY CHECKING THIS BOX, YOU AGREE THAT YOU HAVE READ AND UNDERSTAND THE AGREEMENT AND AUTHORIZE THE SUBMISSION OF THIS APPLICATION.*

Yes, I have read the agreement and agree to the submission of this application to Lumberjacks Restaurant.
I certify that the answers given herein are true and complete to the best of my knowledge. If my application is considered favorable, I will be available to for work on:*
Example: Day/Month
Please verify that you are human*
Should be Empty:

Apply for a Position

Employment History

Employment #1

Employment #2

Employment #3

References

Education History

Additional Questions

IMPORTANT AGREEMENT