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Personal Information

*

Date (mm/dd/yyyy)

*

Last Name

*

First Name

Middle Name

*

Street Address

*

City

*

State

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Zip

If at current address less than two years, please provide your previous address

Previous Street Address

Previous City

Previous State

Select One Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon

Previous Zip

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Telephone Number

*

Email Address

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Are you 16 years or older?
(applicants under age 16 are not eligible for hire)

Yes No

How did you hear about this employment opportunity?

For Server positions only, are you 19 years or older?

Yes No Not Applicable

*

Have you ever been convicted of a felony?

Yes No

If yes, please explain
(a conviction record does not necessarily disqualify you from employment;
factors such as the date of the offense, seriousness and nature of the violation,
and rehabilitation will be taken into account)

*

Are you legally authorized to work in the U.S.?

Yes No

*

Are you licensed to drive a car?

Yes No

Driver's License Number

Driver's License State

Select One Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon

Driver's License Expiration Date

Employment Desired

*

Date you can start (mm/dd/yyyy)

*

Expected starting hourly rate

*

Are you willing to work a split shift?

Yes No

*

Are you willing to stay late in an emergency?

Yes No

*

Are you willing to work holidays / weekends?

Yes No

*

How many hours per week do you expect to work?

*

Applying For Check all that you are interested in)

Food Server
Line Cook / Food Prep
Bartender

Security

Backbar
Busser/Dish Machine Operator / Utility

Hostess

Other

* Please check the shifts you are available to work (hours may vary)

Work History

* Please list three most recent jobs (start with the most recent or current job)

Education

References

Please give the names of three persons not related to you, whom you have known for at least one year.

"I understand and agree that Side Tracks, LLC supports the Drug Free Workplace concept and as such may require me to submit to drug/alcohol screenings as a condition of employment or continued employment. These drug/alcohol screenings may be administered at anytime. I hereby consent to any such screenings and understand and agree that refusal to submit to any drug/alcohol screenings will disqualify an applicant or result in termination of employment. Subject to state law."

"I understand the Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age"

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal"

"I 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 an I-9 form in this regard."

"I authorize you to investigate all statements contained herein and the references listed above to give you and 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."

"I understand and agree that, if hired, my employment is at will unless otherwise defined by applicable law, and is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice."

"I understand that this application is not an employment contract."

NOTICE TO TIPPED EMPLOYEES: You are hereby notified that Section 3(m) of the Fair Labor Standards Act (The Federal Minimum Wage Law) provides as follows: In determining the wage of a tipped employee, the amount paid such employee shall be at least an amount equal to the cash wage of $2.13 an hour and an additional amount of the tips received by such employee which amount is equal to the difference between $2.13 an hour and the current minimum wage in effect. The additional amount on account of tips may not exceed the value of the tips actually received by an employee. The preceding two sentences shall not apply with respect to any tipped employee unless such employee has been informed by the employer of the provisions of the section and all tips received by such employee have been retained by the employee, except that nothing herein shall prohibit the pooling of tips among employees who customarily and regularly receive tips. Some states have eliminated the tip credit or require a lower percentage of the tip credit than the Federal Minimum Wage Law, in which case State Law will apply.

*

*

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Electronic Signature
(By typing your name in the box above, you are signing this application)