Careers Junior Restaurant & Lounge Employment Application Form General InformationPosition Applying for:(Required) Applicant Name:(Required) Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How were you referred?(Required) Are any of your relatives currently employed with the company?(Required)Select OptionYesNoName of relative:(Required) Are you at least 18 years of age?(Required) Yes No Are you legally eligible to be employed in the United States?(Required) Yes No (Proof of eligibility will be required upon employment).Are you currently working under a work visa?(Required)Select OptiopnYesNoVisa Type(Required) Exp Date(Required) Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?(Required) Yes No HiddenSection SpacerEmployment HistoryPlease attach resume as part of this application. Start with present or most recent position. If information is already on your resume, fill in only those items not listed on your resume.Name of present or most recent Employer: Type of Business: Supervisor’s Name: PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Job Title: Dates of Employment: May we contact employer? Yes No Work Performed:Reason for Leaving:Name of previous Employer: Type of Business: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Supervisor’s Name: PhoneJob Title: Dates of Employment: May we contact employer? Yes No Work Performed:Reason for Leaving:Name of previous Employer: Type of Business: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Supervisor’s Name: PhoneJob Title: Dates of Employment: May we contact employer? Yes No Work Performed:Reason for Leaving:HiddenEducation/Training(If information is already on your resume, complete only those items not listed on your resume)College or Institution Degrees Special Training or Licenses related to position College or Institution Degrees Special Training or Licenses related to position College or Institution Degrees Special Training or Licenses related to position Applicant’s Certification and AgreementCertify Agreement(Required) I certify I certify that the answers given herein are true and complete to the best of my knowledge. If hired, I understand that falsification, misrepresentation or omission of facts in this application, or in any part of the hiring process may be cause for denial of employment or may result in immediate termination of employment, regardless of when or how discovered. I authorize the investigation of all statements and information contained in this application. I release anyone supplying such information from all liability and I release Ed David Restaurant Group, Inc. from all liability that might result from conducting an investigation.At Will Statement(Required) I understand I understand that any employment relationship with Ed David Restaurant Group, Inc. is of an at-will nature, which means my employment may be terminated at any time, with or without cause, by Ed David Restaurant Group Inc. or by myself. I also understand that, if hired, I am required to abide by all rules and regulations of Ed David Restaurant Group, Inc.Upload ResumeAccepted file types: pdf, doc, docm, docx, dot, dotx, dotm, Max. file size: 128 MB.
