Employment Application

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

How long have you lived at your current address?

Phone Number

Area CodePhone Number

E-mail

Current Job Title

What position are you applying for?

Have you ever been employed by Basil's before?

If yes, give dates:

If hired, can you present evidence of your identity and right to work in the US?

Are you of legal age to serve alcohol at this time in this state?

Do you have reliable means of transportation to and from work?

Date available for employment

MonthDayYear

If offered a position, how much notice do you need to offer your current employer?

Do you have any regularly scheduled or intermittent obligations, which may affect your availability to work?

Please check the hours and days you are available to work:

Rows	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Day
Night

Employer 1:

Supervisor:

Position held:

Dates from/to:

Last rate of pay:

City/Location + State

Phone number:

Area CodePhone Number

Reason for leaving:

Employer 2:

Supervisor:

Position held:

Dates from/to:

Last rate of pay:

City/Location + State

Phone number:

Area CodePhone Number

Reason for leaving:

Employer 3:

Supervisor:

Position held:

Dates from/to:

Last rate of pay:

City/Location + State

Phone number:

Area CodePhone Number

Reason for leaving:

Highest level of education obtained:

Please list any work-related skills:

Have you ever been convicted or pleaded “guilty” or “no contest” to a felony?

Applicants may check “No” and need not disclose information related to convictions that have been expunged or pardoned or for which the records relating to such convictions have been sealed or destroyed pursuant to court order. Answering “Yes” is not an automatic disqualification for consideration of employment.

Have you ever been discharged or asked to resign by an employer?

Will you receive a satisfactory reference from your current and all previous employers?

I certify that all information I have provided in this application and any supporting documents (i.e. resumes, etc) are true to the best of my knowledge. I understand that a requirement of employment is answering this application accurately and fully, and I am not qualified for hire or continued employment if I have not answered accurately and fully. I understand that my falsification, omission, or misstatement of information on this application or at any time during the employment application process may result in refusal to hire or, if hired, termination.

I authorize investigation of all statements and responses contained herein, authorizing my previous employers to provide to FC any pertinent information that they may have, personal or otherwise, and release all parties from liability for any damage that may result from furnishing the same to FC.

Employment with FC is entered into voluntarily. All employment with FC is at will, meaning that both the team member and the company remain free to terminate the employment relationship at any time, for any reason, with or without cause or notice. Furthermore, no employment policy, handbook or any other document shall be construed to create any legal obligation of expressed or implied contract.

I agree that any claim or lawsuit relating to my service with FC must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit.

I also understand that if hired, I will be required to provide proof of identity and eligibility to work in the United States and that Federal immigration laws require me to complete a Form I-9 in this regard.

I understand that FC may provide me with additional application documentation pertaining to the state for which I seek employment.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Employment Application

Availability Information

Employment History

Additional Information

Applicant Statement