Employment Application or Rose Italian Kitchen

Section one of five

Name *

Name

First Name

Last Name

Email Address *

Phone *

Phone

(###)

###

####

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birth Date *

Birth Date

YYYY

If you are under 18, and it is required, can you furnish a work permit?

Yes

If NO to above, please explain:

Have you ever been employed by CAPRG before? *

Yes

If YES to above, give dates and positions:

Are you eligible to work in the United States? *

Yes

Date available to start work: *

Date available to start work:

YYYY

What Position are you applying for? *

Preferred Location(s): *

Type of employment desired: *

Full-Time

Part-Time

What is your desired salary range?

Available Start Date: *

Available Start Date:

YYYY

Have you ever been convicted of or pleaded no contest to a felony? *

Yes

If YES, please provide the date(s) of the convictions or pleas and the nature of the offenses:

Answering “yes” to these questions does not constitute an automatic bar to employment. Applicants 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. Only offenses that are substantially related to the position will be given consideration.

Employment History

Provide the following information of your past two (2) employers, assignments or volunteer activities, starting with the most recent.

Company Name (1 of 2):

Location:

Position/Title:

Responsibilities:

Reason for Leaving:

Dates Employed:

May we contact for reference?

Yes

Company Name (2 of 2):

Location:

Position/Title:

Responsibilities:

Reason for Leaving:

May we contact for reference?

Yes

Education

Please provide the following information regarding your educational history.

High School Name & Location:

High School Years Completed:

High School Degree or Diploma:

Yes

High School Courses Studied:

College Name & Location:

College Years Completed:

College Degree or Diploma:

Yes

College Courses Studied:

Other Education Name & Location:

Other Education Years Completed:

Other Education Degree or Diploma:

Yes

Other Education Courses Studied:

References

Please list three (3) non-related references that we may contact.

Reference Name (1 of 2): *

Reference Name (1 of 2):

First Name

Last Name

Reference Phone (1 of 2): *

Reference Phone (1 of 2):

(###)

###

####

Reference Name (2 of 2): *

Reference Phone (2 of 2): *

Reference Phone (2 of 2):

(###)

###

####

Applicant Statement

Do not sign until you have read the applicant statement below: I certify that all information i have provided in order to apply for and secure work with the employer is true, complete and correct. Also, i understand that denial of employment or, if hired, termination of employment may occur if the employer discovers the falsification or material omission of information. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you. If i am hired, i understand and agree that i am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand and agree that no manager or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the company’s owners. I agree that any claim or lawsuit relating to my service with chef art pour restaurant group 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 i am hired, i will be required to provide proof of identity and legal authority to work in the united states and that federal immigration laws require me to complete a form i-9 in this regard. I certify that i have read, fully understand and accept all terms of the foregoing applicant statement.

Applicant Signature: *

Today's Date: *

Today's Date:

YYYY

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