Daily Specials

Wednesday Feb 22, 2012

Soup of the Day- Cream of Mushroom
Food Special- FRESH HANDBREADED PERCH (WHILE IT LASTS)

Drink Special- $4.00 Crown Royal OldFashion

Application For Employment

Contact Information First Name (Required) Middle Initial (Required) Last Name (Required) Telephone (Required) Present Address City State Zip

Job Details

Referred by

Agency

Person

In Store Signage

Website

Other

Please Name Source (if answered other)

Are you legally eligible for employment in the USA?

Yes

Date of Birth (Required) Position applying for Salary expected

Do you have transportation to and from work?

Yes

Previous Employment With Us

Were you previously employed by us

Yes

If yes, when Other name(s) used while attending schools or places of employment indicated on this form

Background

Can you perform the functions of this job with or without reasonable accommodations

Yes

If No, please explain

Have you ever been convicted of a felony

Yes

If yes, please explain (A conviction alone will not automatically bar you from employment)

Education

High School

Name and Location Course of Study

Currently Enrolled

Yes

What year did you / do you plan to graduate

College

Name and Location Course of Study

Currently Enrolled

Yes

What year did you / do you plan to graduate Degree

Other

Name and Location Course of Study

Currently Enrolled

Yes

What year did you / do you plan to graduate Degree

Military

Military Service

Yes

Brach of service and rank Dates of Service Special Training

Employment

Current / Most Recent Employer

Name of Company Address Supervisor Salary Phone Job Title Date Started Date Left Job Description Reason for Leaving Explain

Second Most Recent Employer

Name of Company Address Supervisor Salary Phone Job Title Date Started Date Left Job Description Reason for Leaving Explain

Third Most Recent Employer

Name of Company Address Supervisor Salary Phone Job Title Date Started Date Left Job Description Reason for Leaving Explain

References

First Reference

Name Relationship to Reference Occupation Address Phone

Second Reference

Name Relationship to Reference Occupation Address Phone

Third Reference

Name Relationship to Reference Occupation Address Phone

Additioanl Information Please summarize any additional information necessary to fully describe your qualifications.

PLEASE READ All information written on this application is complete and accurate to the best of my knowledge. I understand that any misrepresentation of facts in this application disqualifies me from further consideration - or if employed - is grounds for dismissal. I understand that any employment offer is contingent upon satisfactory references and I authorize Fox Harbor Pub and Grill to investigate past employment and education history, as well as references given on application.

I understand that if employed such employment may be terminated for just cause, or no cause, by management at any time. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its management, and then only when in writing and signed by the management, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

I fully understand and agree to all statements above.