Employment Application Form

Name*

First NameLast Name

Phone Number*

Email*

example@example.com

Birth Date*

MonthDayYear

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How were you referred to us?*

Position Interested in?*

General Schedule Availability- Select all that are appropriate*

Full Time Year Round (5 shifts / week)Part Time School Year (2 shifts + /week)Part Time SummerPart Time Summer

Work Shift General Availability - Select all that are appropriate*

Education (select all that are appropriate)*

Graduated High SchoolGraduated or in CollegeGraduate SchoolTrade, Business, Night Courses, Other TrainingAge 15 -18 (Eligible to work in MA with work permit)

Are you a United States citizen or legally authorized to work in the United States?*

YesNo

Please describe any special skills or certifications you might have and let us know your desired schedule, you MUST be able to work 2+ days a week*

References

Please list one (1) reference that are familiar with your work life.

Reference*

APPLICANT’S CERTIFICATION:
I understand that all statements made in this application (including resume and supporting documentation) are true and complete under pains and penalties of perjury. I understand that any falsified statements, misrepresentations, or omissions made by me as part of my application shall be grounds for ineligibility for employment or immediate dismissal, should one be discovered after I am employed.

I authorize Fireside Tavern Sherborn to investigate all statements made as part of this application and to secure any necessary information from all prior employers and references. I release all of those persons, employers and references from any and
all liability arising from their giving and receiving information about my employment history, academic credentials or qualifications.

I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity and that failure to submit proof will result in denial of employment.

I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship is of an “At-will” nature, for no definite term, which means that employment may be terminated, with or without cause, and with or without notice, at any time, at the option of either the employer or the employee.

I understand that in the event of employment, I am required to abide by all rules and regulations of my employer. I further understand and acknowledge that this application does not constitute a contract of employment, nor does it constitute a promise or assurance of employment. This status can only be modified by a written document setting forth such modification, signed by both me and an authorized representative of my employer.

I acknowledge that I have read this application for employment, requirements, and authorization, fully understand its contents and voluntarily agree to its provisions. I further acknowledge that I am expected to abide by all rules, regulations, policies, written or unwritten, but that such rules, regulations and policies do not create a contract between me and my employer or otherwise restrict the right of either party to terminate the employment relationship.

My signature certifies that I have read and agree with the above statements and all statements contained in this application for employment:

Signature*

Date*

Date

Please attach Resume*

Fireside Tavern Employment Application