171 West Wing Street, Suite 203 | Arlington Heights, IL 60005 | 847 222 1000
Application for Employment
Which Restaurant(s) Would You Like To Apply To?
Fuego Mexican Grill and Margarita Bar Chicago
The Grand Station Restaurant and Cocktails
Location
Personal Information
* First Name
M.I.
* Last Name
Soc. Sec. #
Address
Address line 2
City
State
Zip Code
* Email
* Home Phone
Work Phone
Cell Phone
* How old are you?
Over 21
Over 18
Under 18 with work permit
* Are you authorized to work in the USA?
Yes
No
Job Interests & Skills
Position(s) applying for?
Server
Bartender
Host/Hostess
Line Cook
Production
Dish/Utility
Other
* Employment type Full Time Part Time Summer or Temporary
Please list the top (3) reasons why you are interested in an employment opportunity with our company.
Please list (3) other experiences, skills or abilities you have that should be considered in evaluating your qualifications for this job
Expected Wage (per hour)
Expected Wage (per week)
(Note: Statement of desired salary does not guarantee we are able to meet your request.)
Availability
Please indicate the days you can work. List the earliest and the latest times you can work.
(Please account for travel time to and from other obligations, as being on time for a shift is expected from everyone.)
Monday
Earliest Time In
Latest Time Out
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many hours per week do you expect to work?
Date you could begin working
* Are you able to work holidays and weekends?
* Are you able to attend staff meetings or staff training outside your normal work schedule?
* Are you in school, taking courses, or planning schooling within the next (6) months?
* Do you have any plans or scheduled obligations(e.g., weddings, vacations, school, exams, reserve duty, sport participation, holidays, etc.) in the near future that conflict with your stated availability?
Please list the dates(s)
Education
Highest level of education completed
High School
Name of School
Check Last Year Completed
9
10
11
12
Did You Graduate
Major Study
Degree Received
College
1
2
3
4
Employment History
* Has the EEOC, other agency or civil court ever determined that you have engaged in harassment (sexual or other)?
* Have you ever been or are you now a party to any law suits?
If Yes, please explain.
* Have you been convicted of a felony within the last (10) years?
* Have you held more than one job in the last (12) months?
* Have you ever been terminated from a job(s)?
If Yes, how many times?
What were the circumstances?
* Do you have a reliable means of transportation to and from work?
Please List Most Recent First
Past Employer # 1
Name of Employer
Position Held
Period Employed
Rate of Pay
Starting Wage
Ending Wage
Hours Worked Per Week
Reason for Leaving
Name of Immediate Supervisor
Phone Number of Immediate Supervisor
May we contact your employer?
Work Peformed
Past Employer # 2
Past Employer # 3
Personal References
(other than immediate family)
Reference #1
Name
Phone Number
Number of Years Known
Relation
Reference #2
In Case of Emergency we should contact
Emergency Contact #1
Work Phone Number
Emergency Contact #2
Home Phone Number
Acknowledgement
By submitting this application, I certify that all answers to questions in the application, and other reference documents are true and complete to the best of my knowledge. I understand that misrepresentation, omission, or falsified statements on this application or any other reference documents in any detail shall constitute sufficient cause for disqualification from further consideration for hire or for dismissal whenever discovered.I authorize The Company to make any investigation of my employment history and authorize any former employer, person, firm, corporation, school, credit agency, or government agency to give The Company pertinent information they may have regarding me. I further understand that The Company may, but is not limited to reference questions or investigations regarding performance, integrity, background, credit history, reliability, employee relations, customer relations, and other relevant information. In consideration of The Company's review of this application, I release The Company and all providers of information from any liability as a result of furnishing and receiving this information.I further agree that, if employed, I will conform my conduct to The Company's rules and regulations, and that I may not enter into any other employment or engage in any business which will conflict with my responsibilities as an employee of The Company. I understand that, if employed by The Company and unless otherwise specifically agreed to in writing, that I will be an employee at will and that my employment can be terminated with or without cause, and with or without notice, at any time, at either The Company's or my option.I further understand A)- that no personal recruiter, interviewer, or representative of The Company, other than the President, has any authority to enter into any agreement for employment for any specific period of time; and B)- that any employment manuals or handbooks that may be distributed to me during the course of my employment shall not be construed as a contract. I understand that completing this application form is no guarantee that I will be interviewed or will be offered employment. I understand that this is an application for consideration of employment only and that if contacted by The Company, I will be asked to complete a full application in person. I understand that I will be given fair and equal consideration along with other applicants.I understand that The Company may require the successful completion of a urinalysis for drug testing purposes and/or a blood alcohol test as a condition of employment. By submitting this Application for Employment, I hereby consent to either or both of said tests, at The Company's discretion.
I Have Read and Agree to The Above Statement *
* Please copy the text as shown into the box to verify
