Apply online - Parkers on Fall Bar and Grill

First Name

Last Name

Phone Number

Address

Application Date

Are you 18 years of age or older?

Are you either a U.S. citizen or do you have the legal right to work in the United States?

Have you ever worked or attended school under another name? If so, under what name?

Position Desired

Position

Start Date Available

Wage rate desired

Do you prefer part time or full time?

If Part Time, hours per week desired:

Hours you are available to work:

Are you available to work:

Weekends Holiday Nights Overtime

Education

High School:

Graduated

Technical School:

Graduated?

Course of Study:

College/University:

Graduated?

Course of Study:

Post Graduate Education:

Graduated?

Course of Study:

Other education, training or special skills:

Work Experience Job 1

Employer:

Address:

Dates Employed:

Position Held:

Reason for Leaving:

Supervisor's Name:

May we contact?

Description of duties:

Work Experience Job 2

Employer:

Address:

Dates Employed:

Position Held:

Reason for Leaving:

Supervisor's Name:

May we contact?

Description of duties:

Work Experience Job 3

Employer:

Address:

Dates Employed:

Position Held:

Reason for Leaving:

Supervisor's Name:

May we contact?

Description of duties:

References - Provide 3 individuals (not relatives) who can attest to your work

Name

Phone Number

Years Known:

Name

Phone Number

Years Known:

Name

Phone Number

Years Known:

Authorization and Acknowledgements

I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by the President.

I understand also, that I am required to abide by all rules and regulations of the employer.

I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.

Candidate's E-signature

Date

Parker's on Fall Bar & Grill is an Equal Opportunity Employer

Parkers on Fall Bar & Grill Employment Application