Applicant InformationPosition(s) applying for *CookServerAnyHow did you hear about this position?Full Legal Name *Phone *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Do you have reliable transportation? *YesNoAre you at least 18 years old? *YesNoWhy are you seeking a new job? *List any special skills or trainingAre you legally eligible for employment in the U.S.? *YesNoProof of U.S. citizenship or immigration status is required if hired.Have you ever been convicted of a crime? *YesNoList crimes you have been convicted of. List any pending judicial proceedings. List date, nature of offense, and disposition of case.Note: The existence of a criminal record does not constitute an automatic bar to employment.Employment InformationAre you seeking full time, part time, or temporary employment? *Full TimePart TimeTemporaryAny AvailablePreferred hours and shifts *List days/hours you are unavailable to work *Are you willing to work any of the following? *OvertimeWeekendsHolidaysAre you currently employed? *YesNoIf hired, when would you be able to start? *List any friends or relatives employed by Dover GrilleHave you ever been discharged or asked to resign from any position? *YesNoPlease describe the circumstances of being discharged or resigning from your previous position(s)EducationElementary Education Completed (1-8) *High School Education Completed (9-12)GED?YesNoCollege Completed (1-8)Name and location of all schools attended *Work HistoryCompany 1Company 1 PhoneStreet AddressCityState/ProvinceZIP / Postal CodeStart DateEnd DateBeginning SalaryUSDEnding SalaryUSDJob TitleSupervisor's Name & TitleDescribe job duties brieflyReason for leavingDo you have additional job experience to add? *YesNoCompany 2Company 2 PhoneStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeStart DateEnd DateBeginning SalaryUSDEnding SalaryUSDJob TitleSupervisor's Name & TitleDescribe job duties brieflyReason for leavingDo you have additional job experience to add?YesNoCompany 3Comapny 3 PhoneStreet AddressCityState/ProvinceZIP / Postal CodeStart DateEnd DateBeginning SalaryUSDEnding SalaryUSDJob TitleSupervisor's Name & TitleDescribe job duties brieflyReason for leavingList any additional employers and detailsI 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 The Dover Grille if I should be convicted of a crime while my job application is pending or during my employment, if hired. I authorize The Dover Grille 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 discharge. I specifically authorize and direct my current and former employers to supply employment-related information to The Dover Grille 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 The Dover Grille from all liability for supplying any information concerning my employment to any potential employer. I authorize The Dover Grille, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. 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 and for no specific period of time. Employment may be terminated at any time, for any reason, or for no reason at all. I have read, understand, and agree to the above. *Yes, I agree.Electronic Signature Acknowledgment and Consent *I agree and understand that by signing the Electronic SignatureAcknowledgment and Consent, that all electronic signatures are the legal equivalent of mymanual/handwritten signature and I consent to be legally bound to this agreement. I further agree mysignature on this document is as valid as if I signed the document in writing. This is to be used in conjunctionwith the use of electronic signatures on all forms regarding any and all future documentation with a signaturerequirement, should I elect to have signed electronically.Under penalty of perjury, I herewith affirm that my electronic signature, and all future electronic signatures,were signed by myself with full knowledge and consent and am legally bound to these terms and conditions.Electronic Signature *Send Application
