Application Step 1 of 6 0% Which location are you applying for?* Alvin League City Position Requested:* Server Kitchen Host Dish/Bus Full Name* Social Security #* Are you 18 or older?* Yes No Date of Birth* MM slash DD slash YYYY Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Telephone(1)* Telephone(2) Are you able to lawfully work in the U.S.?* Yes No Initial hiring and continued employment may be dependent upon proof that you are not an "unauthorized alien" as defined in the immigration reform and control act of 1986. All applicants will be required to furnish proof of identity and legal work authorization. EducationSchool most recently attended Location Graduated/GED?* Yes No Last grade completed Now Enrolled? Yes No Work ExperienceList your three(3) most recent jobs within the last five(5) years (you may include work performed on a volunteer basis)Company Phone Position Address/Location Dates Worked From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for leaving Hourly rate of paySupervisor Work ExperienceCompany Phone Position Address/Location Dates Worked From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for leaving Hourly rate of paySupervisor Work ExperienceCompany Phone Position Address/Location Dates Worked From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for leaving Hourly rate of paySupervisor GeneralWithin the last five(5) years, have you been convicted, pled guilty, pled "no contest" to a felony or misdemeanor other than traffic violations? Yes No Please explain * A conviction will not necessarily bar you from employment.This restaurant operates with multiple shifts, 6-days per week. Please indicate your preferred shifts in the chart below by typing "X" in each preferred day/time:The restaurant is closed on mondays and dinners.AMTuesdayWednesdayThursdayFridaySaturdaySundayLunchTuesdayWednesdayThursdayFridaySaturdaySundayAvailable hours per week Days you are unable to work Date available to start working MM slash DD slash YYYY Special requests (not guaranteed to be fulfilled) RED OAK CAFÉ ‐ INDEPENDENTLY OWNED AND OPERATED RESTAURANTIn completing this application, I understand that it is very important that I be completely truthful. I realize that red oak cafe relying on my truthfulness. I agree that if it should be discovered that the information I am providing is inaccurate, or incomplete in any respect, I will be disqualified for employment or if I have already been hired, my employment will be terminated immediately. I understand and agree that if I should become employed by Red Oak Cafe, I will have the right to terminate my employment at any time for any reason. I further agree that red oak café shall have the same right to terminate my employment. My employment-at-will status cannot be modified unless such modification is set forth in writing in a document signed by both me and an officer of red oak café. Employee handbooks, manuals, personnel policies and procedures of Red Oak Cafe are not employment contracts and do not modify my status as an at‐will employee. I have read and understood the foregoing. I am seeking employment with red oak café under the terms set forth herein and that red oak cafe is the sole employer of the employees at this restaurant. I certify and declare that all the information I have provided is true and correct. I authorize an investigation of all statements contained in this application. I authorize the references listed on this application to give you any and all information concerning my previous employment and release all parties from all liability for any damage that may result from furnishing such to you.Applicant's printed name:* Date* MM slash DD slash YYYY Signature*This application will be considered for 30 days, for consideration after 30 days, you must reapply. Δ
