Employment Application

Employment Application

Before applying for any position, please read the entire job description located on our website.
Are you currently employed here at Swamp Rabbit Cafe and Grocery?
Applying for Position (minimum age requirement associated with job):
Please select age category
Certain positions have a minimum age requirement
Select positions require staff to be 18+ years of age. Minors ages 16 and 17 may not engage in any occupation deemed hazardous, as defined under the 17 Hazardous Occupations Orders of the Fair Labor Standards Act.
Employee Driving Records must meet the following criteria:
- Be 21 years of age or older
- No convictions for DUI in the last 10 years and no currently pending DUI
- No felony hit-and-run or leaving the scene of an accident in the last 10 years
- No misdemeanor hit and run in the past 5 years
- No more than 1 at-fault accident in the past 5 years years
- No more than two moving violations in the previous five years (driving while intoxicated, failure to signal for turns or lane changes, failing to drive within a single lane, driving over the speed limit, failure to stop at a stop sign or red light, driving in a carpool lane illegally, failure to stop for a school bus when children are boarding or exiting, failure to secure a load to a truck or lorry, and failure to yield to a vehicle with the right of way.)
- No more than 1 of the listed in the past 1 year
Full Name

LEGAL FirstLast Name
Preferred Name
The name you go by if it differs from your legal first name.
If you were referred by a current Swamp Rabbit Cafe employee, please list their name.

First NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number

Area CodePhone Number
Are you seeking Full/Part time or Seasonal employment?
Available Start date

MonthDayYear
Date
Select days and times you are available to work
How many hours each week are you available to work?
Desired Hourly Pay
Upload Resume

Upload a File

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Are you a U.S. citizen or authorized to work in the United States without sponsorship?
If offered employment, can you provide proof of work authorization per USCIS Form I-9?
Have you ever worked for this company?
If yes, when?
Have you ever been convicted of a felony?
If yes, please provide dates and explain:
Education
High School:
High School Address

CityState / Province
City, State
Did you graduate or receive a GED?
If GED, please provide state & date received GED Date & State (do not list high school graduation date) :
College
City, State
From:
Enter year
To:
Enter year
Did you graduate
Degree:
Are you ServSafe Certified?
Please upload your ServSafe Certificate

Browse Files

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Other education:
Professional References

Please list three professional references:
Name Of Reference

First NameLast Name
Relationship
Company Name
Email
example@example.com
Company Phone Number

Area CodePhone Number
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name Of Reference

First NameLast Name
Relationship
Company Name
Email
example@example.com
Company Phone Number

Area CodePhone Number
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name Of Reference

First NameLast Name
Relationship
Company Name
Email
example@example.com
Company Phone Number

Area CodePhone Number
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Employment
1. Company Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor
Supervisor Email
example@example.com
Your Job Title
Responsibilities:
Employment Start Date

MonthDayYear
Date
Employment End Date

MonthDayYear
Date
Reason for leaving:
May we contact your previous supervisor for a reference?
2. Company Name
Company Phone Number

Area CodePhone Number
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name
Supervisor Email
example@example.com
Your Job Title
Employed From:

MonthDayYear
Date
Employed To:

MonthDayYear
Date
Reason for leaving:
May we contact your previous supervisor for a reference?
3. Company Name
Company Phone Number

Area CodePhone Number
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name
Supervisor Email
example@example.com
Your Job Title
Employed From

MonthDayYear
Date
Employed To

MonthDayYear
Date
Reason for leaving:
May we contact your previous supervisor for a reference?
Military Service
Branch
From

MonthDayYear
Date
To

MonthDayYear
Date
Highest Rank Achieved
Rank at Discharge
Name

First NameLast Name
Why would you like to work here?
Current Department
Current Position/s
What is your current job title?
How did you hear about this job opening?

Other
Please indicate why you are applying for a new position
Please describe why you are a good candidate for this position
Acknowledgement and Signature

Please read before submitting
I certify that my answers are true and complete to the best of my knowledge.
By submitting this application, I authorize the investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal at any time without notice. I authorize the investigation of all matters contained in this application and hereby give Swamp Rabbit Café & Grocery (SRCG) and its designees permission to contact my schools, previous employers (unless otherwise indicated), references, and others, and I hereby release SRCG and its assigns from any liability as a result of such contact.

I understand that if I am offered and accept a position at SRCG, there is no contract of employment and employment is at will; I am not being employed for any specified time, and the submission of information is not intended to be a contract for continued employment.

I understand that this application will remain active for a period of three months. After that time, if I desire further consideration, I must renew my application.
I have carefully read the above Acknowledgement and I understand and agree to all of the statements.
Signature
Should be Empty:

Employment Application

Education

Professional References

Previous Employment

Military Service

Acknowledgement and Signature