By pressing the "Submit' button I hereby certify that the information
contained in this form is true and correct to the best of my knowledge and agree to have any
of the statements checked by Kaiser Restaurant Group (the Company) unless I have indicated to the contrary.
I authorize the references listed above to provide the Company any and all information concerning
my previous employment and any pertinent information that they may have. I release all parties
and persons from any and all liability for any damages that may result from furnishing such
information to the Company as well as from the use or disclosure of such information by the
Company or any of its agents, employees, or representatives. I understand that any
misrepresentation, falsification, or material omission of information on this application may
result in my failure to receive an offer or if I am hired, in my dismissal from employment.