The Local on 50th - Application for Employment

Application for Employment
"Welcome to The Local on 50th! We're excited to have you join our team and be a part of our vibrant community."
Personal Information
Name*

First NameLast Name
MI
Cell Phone*
Please enter a valid phone number.
Email*
example@example.com
Address*

Present Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State*
Zip*
Position you are applying for*
Where did you learn about the position you are applying for?*
Requested hourly rate
I am seeking*
Can you start work immediately?*

YesNo
If not when are you available?

MonthDayYear
Date
Employment Information
Are you presently legally authorized to work in the United States on a full time basis?*

YesNo
Do you have any friends/family currently employed by our company?*

YesNo
If yes identify their names and positions
Have you ever applied to this company before?*

YesNo
If yes please state when and for what position
If hired, can you furnish proof that you are at least 18 years of age?*

YesNo
If hired for a position that requires the employee to be over 21 years of age, can you furnish proof of age?*

YesNo
If hired for a position that requires the employee to serve alcohol, do you have a current Responsible Alcohol Service (RBS) Card / Certificate?*

YesNo
Employment Background

Please list your last three employers, starting with the most recent. Please describe your situation if there are any periods of unemployment in your history. If self-employed, list your company's name and business references.
Employer 1

Most Recent Employer
Name*
Address
Position Title*
Manager
Hire Date*

MonthDayYear
Date
To Date*

MonthDayYear
Date
May we contact this employer for a reference?*

YesNo
Employer 2
Name
Address
Manager
Position Title
Hire Date

MonthDayYear
Date
To Date

MonthDayYear
Date
May we contact this employer for a reference?

YesNo
May we contact this employer for a reference?

YesNo
References

Please list references from your last 3 employers, starting with the most recent. If self-employed, list your company's name and business reference. If there is a period of unemployment, list a reference that is unrelated to you for that period of time.
Reference 1

Most recent reference
Name*

First NameLast Name
Title*
Relationship*
Phone Number*
Please enter a valid phone number.
Years Known*
Reference 2
Name

First NameLast Name
Title
Relationship
Phone Number
Please enter a valid phone number.
Years Known
Reference 3
Name

First NameLast Name
Title
Relationship
Phone Number
Please enter a valid phone number.
Years Known
Certification

Please read each paragraph carefully, initial each paragraph, and sign below. Your initials signify that you have read, understood, and agree to the provisions initialed.
The Local on 50th takes very seriously false or misleading information provided by applicants on a job application, resume, and other application related materials, including statements made in job interviews. Any representation made by a job applicant that contains false or misleading information, or omits significant information, will result in employer’s refusal to hire the applicant or, if discovered after employment commences, will be grounds for immediate termination of employment. My initials below, and signature on this application, certify that this application was completed by me, and that all information contained in my application is true and correct.
initial here*
I hereby authorize the references I have listed to provide information to the employer that is relevant to my application for employment, including information regarding my current and/or previous employment. In compliance with California's Fair Chance Act, the employer is prohibited from inquiring into an applicant's criminal history prior to making a conditional offer of employment. Therefore, this request for information does not seek, directly or indirectly, any information related to an applicant's criminal history.
initial here*
If hired, I understand and agree I may terminate my employment with employer at any time, for any reason or no reason, with or without notice to employer, and that employer may terminate my employment at any time, for any reason or no reason, with or without notice to me. If hired, I understand and agree that my employment with employer is for no specified term. No one other than employer has the authority to alter this policy of "at-will" employment, and that any change of that policy must be in writing and signed by an authorized company representative. This at-will provision supersedes all prior understandings or agreements regarding the nature of any employment relationship with employer.
initial here*
Attach your resume (optional)

Cancelof
The Local LLC is an equal opportunity employer. This employer does not discriminate on any basis protected by federal, state, and local laws, including but not limited to on the basis of race, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), color, national origin, sexual orientation, religion, age, disability, marital status, protected medical condition, gender, gender expression, gender identity, genetic information, or any other basis as defined by state, federal or local law. This employer provides reasonable accommodation to qualified individuals for protected reasons in both the hiring process and during employment as required by applicable federal, state and local laws.

This Employment Application was reviewed for legal accuracy and updated in 2024 by Zaller Law Group PC.ZLAW
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Application for Employment

"Welcome to The Local on 50th! We're excited to have you join our team and be a part of our vibrant community."

Personal Information

Employment Information

Employment Background

Employer 1

Employer 2

References

Reference 1

Reference 2

Reference 3

Certification