Lions Tap

Personal Information

Full Name (First, Middle, Last):*List any other names used:

Cell Phone:*Home Phone:

Email:*Social Security Number:

Provision of social security number is optional. Failure to provide a social security number will not prohibit employment consideration. A social security number may be required on other forms prior to employment.

Current Street Address:*City:*

State:*Zip:*

Position Applying For:* Front Staff/Server Kitchen Staff ManagementSalary Desired:$

Are you under the age of 18?* Yes No

Can you provide proof of your age? Yes No

If offered employment, are you able to provide proof of your identity and eligibility to work in the U.S. as required by Federal Law?* Yes No

How did you find out about job opportunities with us? Walk In Newspaper Ad Internet Referral

Who referred you to us?

Availability

What type of employment are you looking for?*Hours per week:Date available to begin:*

Are you available to work days?* Yes No

Are you available to work nights?* Yes No

Are you available to work weekends?* Yes No

Any specific days and hours you are NOT available each week.

Day Of The Week:From:To:

Education

High School or Equivalent

School Name / Location:Years Attended:Certification / Degree Earned:

College

School Name / Location:Years Attended:Certification / Degree Earned:

Graduate, Trade, Technical, Other

School Name / Location:Years Attended:Certification / Degree Earned:

Employment History

List Your 3 Most Recent Positions

Employer Name:Address:

Start Date:End Date:

Summarize type of work performed and job responsibilities:

Reason For Leaving:

Immediate Supervisor:Telephone Number:

May we contact your immediate supervisor for reference? Yes No

Please include an explanation for any gaps in employment:

Skills and Qualifications

Please list any work related skills, licenses and/or certificates that may qualify you as being able to perform job related functions in the position for which you are applying:

Have you ever submitted an application here before?* Yes No

Please list date(s) of previous application:

Have you ever been employed by Lions Tap?* Yes No

Please list date(s) of previous employment:

Do you have any relatives working for Lions Tap?* Yes No

Please list name(s) and relationship:

Have you ever been terminated from any position (excluding layoffs)?* Yes No

Please explain:

Have you ever been asked to resign from any position?* Yes No

Please explain:

References

Please list the name and phone number of three work-related references who are not related to you and were not your immediate supervisor.

Name:Phone:Relationship:Year Known:

Address:

Name:Phone:Relationship:Years Known:

Address:

Name:Phone:Relationship:Years Known:

Address:

Agreement (Please read and sign below)

Nature of Employment:

If I work for Lions Tap, I will be an at-will employee. This means either I, or Lions Tap may end my employment at any time, with or without cause or notice. I agree that no written materials or verbal statements by Lions Tap will constitute an express or implied contract of employment and that this at-will relationship could only be modified in writing, identifying me by name and signed by an authorized officer of Lions Tap.

Lions Tap, in accordance with FDA food code guidelines, requires all employees to report to work in a healthy condition. Any employee with salmonella, E coli 0157:H7, Shigella, or Hepatitis, must report it immediately to their supervisor and will not be allowed to work until cleared by the appropriate officials. I agree to comply with this policy if hired.

My participation in Lions Tap's Drug Free Environment: I am not a current user of illegal drugs, and I agree I will not work under the influence of drugs or alcohol.

Accuracy/Verification of Information:

I promise the information provided in this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I understand any false information or significant omissions may disqualify me from further consideration of employment and may be justification for my dismissal from employment if discovered at a later date.

I authorize the investigation of all statements contained in this application (and accompanying resume, if any). I also authorize Lions Tap to contact my references and past employees to obtain information concerning my past experiences, education, and personal character.

I authorize any person, school, current employer, past employer(s), organizations, and agencies to provide Lions Tap with relevant information and opinions hat may be used in employment decisions. In consideration of Lions Tap's review of this application, I release Lions Tap, and all providers of information, from any liability as a result of furnishing and receiving this information.

I certify I am applying for this position because I wish to work for and contribute to the success of Lions Tap and for no other reason. I understand if I am employed by Lions Tap, I will have a fiduciary duty to Lions Tap to act in its' best interest and not in the interests of another employer. I also understand I must treat any information that I may learn in the course of my employment confidentially.

Lions Tap does not unlawfully discriminate in employment. Questions on this application are not used for the purpose of limiting or excusing any applicant from consideration for employment on the basis prohibited by local, state, or federal law. The company will not refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

Job Offer Contingent Requirements:

All Job Offers will be contingent on the result of a Social Security Number Verification.
All Job Offers may be contingent on the result of a Background Check.
All Job Offers may be contingent on the result of a Drug Screen.

I have read and fully understand the foregoing and seek employment under these conditions

Electronic Signature:*Date Signed:*

Employment Application

Personal Information

Availability

Any specific days and hours you are NOT available each week.

Education

High School or Equivalent

College

Graduate, Trade, Technical, Other

Employment History

List Your 3 Most Recent Positions

Skills and Qualifications

References

Please list the name and phone number of three work-related references who are not related to you and were not your immediate supervisor.

Agreement (Please read and sign below)

Nature of Employment:

Accuracy/Verification of Information:

Job Offer Contingent Requirements: