Employment Application

Employment Application

66 N West State Street, American Fork, Utah 84003

385-427-5570

Please complete the entire application

It is the policy of Root's Place Burgers & More to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability, or veteran status.
Applicant Full Name
Address

Street

Street Address Line 2

City,State & ZIPState / Province

Postal / Zip Code
Mobile Phone
Format: (000) 000-0000.
Email
Job Position Applying For?
Full or Part Time?
Have you applied for our company previously? If yes when?
Are you 18 years or older?
Are you willing to work any shift, including nights and weekends? If no, please state any limitations:
If you are offered employment when would you be available to begin work?
If hired, are you able to submit proof that you are legally eligible for employment in the US?
Applicant Employment History

List your current or most recent employment first. Please list all jobs (including self- employment and military service) that you have held, beginning with the most recent, and list and explain any gaps in employment.
Employer Name
Supervisor Name
Job Duties
Reason for Leaving
Dates of Employment
Employer Name
Supervisor Name
Job Duties
Reason for Leaving
Dates of Employment
Employer Name
Supervisor Name
Job Duties
Reason for Leaving
Dates of Employment
Education & Training
High School/GED Name and Address
College/University Name and Address
Please indicate any current professional licenses or certifications that you hold
References

List any two non-relatives who would be willing to provide a reference for you.
Name
Telephone
Format: (000) 000-0000.
Relationship
Name
Telephone:
Format: (000) 000-0000.
Relationship
Please provide any other information that you believe should be considered including whether you are bound by any agreement with any current employer
Certification of Application
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for the rejection of my application or, if employment commences, immediate termination.

I authorize Root's Place Burgers & More to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Root's Place Burgers & More, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION, AND I UNDERSTAND AND AGREE TO ITS
Applicant Signature
Date

MonthDayYear
Date
Should be Empty:

Certification of Application

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION, AND I UNDERSTAND AND AGREE TO ITS