EMPLOYMENT OPPORTUNITIES Employment opportunities are available. Please complete the form below to apply. APPLICANT INFORMATION Name * First Name Last Name Please indicate any other names by which you have been known Street Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Date Available * MM DD YYYY Salary Desired * Position(s) Applied For * Position Type * Full-Time Part-Time Please indicate hours you are available to work: * Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Saturday PM Sunday AM Sunday PM Are there specific times that you cannot work? Are you available to work holidays? * Yes No If yes, which ones? GENERAL INFORMATION Have you ever been involuntarily terminated or asked to resign from a position? * Yes No If yes, please explain: Are you legally eligible to work in the United States? * Yes No Have you ever been convicted of a felony or misdemeanor? * Yes No If yes, please state the nature of the crime(s), when and where convicted, and disposition of the case(s): Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature, date, surrounding circumstances and relevance of the offense to the position for which you are applying will be taken into consideration. False information could be grounds for termination. EDUCATIONAL BACKGROUND High School School Name and Address (city, state) Major/Field of Study Degree(s)/Diploma(s) Earned GPA College School Name and Address (city, state) Major/Field of Study Degree(s)/Diploma(s) Earned GPA Other School Name and Address (city, state) Major/Field of Study Degree(s)/Diploma(s) Earned GPA Any other special training or skills? Do you have experience with Toast Computer Software? * Yes No EMPLOYMENT BACKGROUND Employer 1 * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Dates Employed * From MM DD YYYY * To MM DD YYYY Job Title * Immediate Supervisor & Title * Reason For Leaving * Pay Rate (starting) * Pay Rate (final) * May we contact for reference? * Yes No Summarize the type of work performed and the job responsibilities: * Employer 2 Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Dates Employed From MM DD YYYY To MM DD YYYY Job Title Immediate Supervisor & Title Reason For Leaving Pay Rate (starting) Pay Rate (final) May we contact for reference? Yes No Summarize the type of work performed and the job responsibilities: Employer 3 Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Dates Employed From MM DD YYYY To MM DD YYYY Job Title Immediate Supervisor & Title Reason For Leaving Pay Rate (starting) Pay Rate (final) May we contact for reference? Yes No Summarize the type of work performed and the job responsibilities: APPLICANTS CERTIFICATE AND RELEASE I hereby certify that the information provided on this application is true and complete. I understand and agree that any falsification or significant omissions on this application may result in not being hired or, if found out after employment, may be grounds for dismissal. I understand and agree that under the terms of employment with Harrison's, the employment relationship is terminable “at will” without notice or cause, unless set out in writing, dated, and executed by both parties. I understand that neither this document nor any offer of employment from Harrison's constitutes an employment contract. I understand that any offer of employment may be contingent upon my ability to comply with INS regulations establishing my identity and right to work in the United States . I understand that Harrison's is an Equal Employment Opportunity employer. Harrison's recruits and hires persons in all job titles without regard to race, color, religion, sex, age, disability, or national origin. I hereby authorize Harrison's to investigate fully all information contained in this employment application and to investigate and compile any other information that may bear upon my suitability for employment. I further authorize my past and present employers to furnish Harrison's with my records of employment and the reasons for my separation and any and all information those employers may possess concerning me. I further release Harrison's and/or its agents to make an independent investigation of criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my application. I release Harrison's from liability or damages for compiling such information. Additionally, I release any organization that provides information pursuant to this authorization from any and all liabilities, claims, or lawsuits in regard to the information obtained from any and all of the above-referenced sources used. Further, I understand that this application will be considered active for a period of ninety days. I have read and understand the foregoing statements and accept the same as conditions of employment. Thank you!
