Employment Application

It is our policy to comply with all applicable federal, state, and local laws prohibiting discrimination in employment. We do not discriminate against applicants or employees on the basis of race, color, religion, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender, gender identity or expression, sexual orientation, marital status, age, national origin, ancestry, physical or mental disability, medical condition, genetic information, military or veteran status, or any other characteristic protected by applicable law.

Please carefully read and complete all questions. Incomplete applications may not be considered. You may attach a résumé, but you must still complete all sections of this application.

Pursuant to the California Fair Chance Act, we will not consider an applicant’s criminal history before a conditional offer of employment is made. Do not include information about arrests, convictions, or criminal background on this application.

If hired, the applicant may be required to provide documentation of their legal right to work in the United States, in accordance with federal law.

We are an equal opportunity employer and encourage applications from all qualified individuals. We prohibit retaliation against applicants or employees who exercise their rights under any applicable labor, anti-discrimination, or whistleblower law.

Name*

First NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Are you at least 18 years of age? (Applicants under 18 may be required to provide a valid work permit if hired)*

YesNo

Some positions may involve pouring or preparing alcohol, or working behind a bar area where alcohol is served directly to customers. California law requires individuals to be at least 21 years old to perform this function. Are you at least 21 years of age?*

YesNoN/A - Not applying for a position that requires pouring or preparing alcohol

To comply with state regulations regarding alcohol service and handling, could you please provide your age range?*

I am under 18I am 18 - 20I am 21 or older

Positions applying for*

CookService MemberShift LeadService Director/GM

Hours*

Full TimePart Time

Availability*

Day Shift (Approximately 10 am-4 pm)Evening Shift (Approximately 4 pm-10 pm)Weekday Shifts (Monday-Friday)Weekend Shifts (Saturday and Sunday)

Are you legally authorized to work in the United States? (Proof of authorization will be required upon hire in accordance with federal law.)*

YesNo

Education*

	School Name	Degree	City/State
High School
College
Other
Other

Certifications

	Date	Certification #/ Details
Food Handler Certification
Food Safety Manager Certification
Responsible Beverage Service Certification
Other

References

	Name	Email	Phone	Relationship
Reference 1
Reference 2

May we contact your present employer?*

YesNoN/A

Type a question

	Title	Company Name	From/To Dates	Ending rate/hr	Supervisor's Name	Supervisor's Number
Present/last
Job #2
Job #3

Resume/Cover Letter

Applicant Certification and Acknowledgment

I certify that the information provided in this Application for Employment is true and complete to the best of my knowledge. I understand that any misrepresentation, omission, or falsification of information may result in disqualification from consideration for employment or, if employed, termination of employment.

I authorize the Employer to verify any information provided in this application, including contacting references, past employers, educational institutions, or other relevant sources. I release the Employer and any individuals or organizations contacted from any and all liability arising from such inquiries or the disclosure of information.

I understand that nothing in this application, nor any other communication, creates a contract or promise of continued employment. If hired, I understand that my employment will be at-will, meaning that either I or the Employer may terminate the employment relationship at any time, with or without cause or advance notice, and that this at-will relationship may not be modified except in writing signed by an authorized company representative.

I understand that, if employed, I may be required to provide proof of identity and legal authorization to work in the United States, and that federal immigration laws require me to complete an I-9 form.

Date*

Date

Signature*

Please verify that you are human*

Employment Application

Personal Data

POSITION INFORMATION

Qualifications

Work History