UNION RIVER LOBSTER POT RESTAURANT EMPLOYMENT APPLICATION

Applicant Name

Union River Lobster Pot Restaurant 8 South Street Ellsworth Maine 04605

Dear Applicant,

Welcome to the Union River Lobster Pot Restaurant. Prior to completing the application for em- ployment, please understand that we are serious about creating a productive working environ- ment for our staff and maintaining the highest levels of quality, service and attention for our guests. We want you to understand that we also believe in living our values, some of which are: We believe that good enough isn't. We believe in doing business in a professional and orderly manner. We believe in honesty and integrity. We believe that only a happy and professional staff can give the level of personal service we demand. We believe in the ongoing training and development of our staff and see it as a worthy investment in the future of the company. We believe in providing legendary service - the unique and powerful sort of personal care and attention that our guests tell stories about. We believe that the customer is our primary reason for being in business. We believe a summer job on the coast of Maine should be fun!

If this feels like an environment for you, please download and complete the application and mail it to: Union River Lobster Pot Restaurant, 8 South Street Ellsworth Maine 04605. Or scan it to a PDF and email to info@lobsterpot.com

Union River Lobster Pot Restaurant - Application for Employment

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status.

First Name

Middle

Last

Street Address

Address

Street Address Line 2

CityStateZip

Positions applied for: Server, Bus, Bartender, Host, - Cook, Dish, Prep

Are you at least 18 years old? Are you able to work to the end of the season; until the middle of October? If not, give the date you can work until

If you are under 16 years of age, can you furnish a work permit?

Are you legally eligible for employment in the US?

(Proof of U.S. citizenship or immigration status is required if hired)

Are you seeking full time or part time employment

If hired when would you be able to start

If you are a college student can you commit to work until Labor Day?

Your Email Address

Your Cell Phone Number

List any friends or relatives employed by this company

Have you ever been discharged or asked to resign from any position?

If yes please describe

Do you have any handicapping conditions that would prohibit you performing the tasks associated with restaurant work

Please describe which tasks if any you will need accommodation to perform and explain what type of accommodation you will need

Name of High School attended

Name of College attended (if applicable)

Degree Major

Year Completed 1. 2. 3. 4. 5. 6.

Location of School

Work History(please begin with most recent)

Company 1

Address

Street Address Line 2

CityStateZip

From

To

Job Title

Supervisors Name Title

Describe duties briefly

Specific reason for leaving

Company 2

Address

Street Address Line 2

CityStateZip

From

To

Beginning

Ending

Job Title

Supervisors Name Title

Describe duties briefly

Specific reason for leaving

For references purposes Have you worked for any of these organizations or attended school under a different name

If yes give name and organizations

May we contact the employers listed above If not list the employers you do not wish us to contact and why

If not, list the employers you do not wish us to contact and why:

Name

Relationship

Years Known

Address

Phone

Name

Relationship

Years Known

Address

Phone

Authorizations & At-Will Employment Agreement

(Please read carefully, then sign and date 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 for my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired. I authorize this company 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 dis- charge. I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. Iauthorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investiga- tive 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. Ihereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician.

I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company 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 the company's President is 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.

Signature

Date

Name please print

UNION RIVER LOBSTER POT RESTAURANT

Application for Employment

AT-WILL EMPLOYMENT AGREEMENT