APPLICATION FOR EMPLOYMENT

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This field is for validation purposes and should be left unchanged.
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Present Address:

Present Address*

Permanenet Address:

Permanenet Address*
Are you 18 years or older?*
Are you legally eligible for employment in the U.S.?*
(PROOF OF IDENTITY AND ELIGIBILITY TO WORK IN THE U.S. ARE REQUIRED UPON EMPLOYMENT)

Employment Desired

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Are you employed now?*
Employment Position Desired?*
Will you accept all shifts assigned to you?*

Education

High School

Did you graduate?*

College

Did you graduate?*

Other School

Did you graduate? **

General

Have you ever been counseled, disciplined, or discharged from employment regarding one or more incidents of the following: Acts of violence (including verbal threats); Sexual/racial harassment of co-worker/subordinate(s); Violations of food handling/safety protocols; serving alcohol to minors; possession of a weapon; or theft from a customer/employer?*
Have you ever been convicted of a felony or a misdemeanor involving theft (including any form of identity theft)?*
Do you have regular access to a computer and/or mobile smart phone?*

IF YOU ARE UNDER 18 YEARS OF AGE, AN OFFER OF EMPLOYMENT WILL BE CONTIGNENT UPON YOUR PROCUREMENT OF THE APPROPRIATE WORK PERMIT, AND EMPLOYMENT WILL BE SUBJECT TO ALL CONSEQUENTIAL WORK RESTRICTIONS.

Former Employers:

List below last three employers, starting with last one first.
Name*
Address*
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Address*
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Address*
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References:

Give the names of three persons not related to you, whom you have known at least one year.

UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A POLYGRAPH EXAMINATION OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.00.

In case of emergency notify:
I understand and certify as to the following:
  • THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED. MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.
  • THAT I UNDERSTAND THAT THIS EMPLOYER IS A ‘TIP CREDIT’ EMPLOYER, AND IF EMPLOYED AS A TIPPED EMPLOYEE, THAT I HAVE BEEN INFORMED THAT THEY WILL TAKE A TIP CREDIT ($4.62/HOUR EFFECTIVE 7/1/15) TOWARDS THE MINIMUM WAGE OBLIGATION; THAT I HAVE A RIGHT TO RETAIN ALL TIPS EXCEPT IN A VALID TIP POOLING ARRANGEMENT, AND THAT THIS POLCY SHALL NOT APPLY TO ANY EMPLOYEE WHO HAS NOT BEEN INFORMED OF THIS POLICY. The tip credit amount that an employer may take may not exceed the minimum wage established for the employee under § 3–413 of Maryland’s Labor & Employment article, less $3.63. Other rules and conditions may apply to receipt of tips and tipped income. Federal minimum wage is $7.25/hour and Maryland minimum wage is $8.25/hour
  • THAT THIS EMPLOYER HAS A MANDATORY ARBITRATION AGREEMENT POLICY, WAIVING ANY RIGHT TO JURY TRIAL, WHICH THEY WILL REQUIRE THAT I SIGN ON MY FIRST DAYOF EMPLOYMENT. (Arbitration does not apply to unfair labor practices filed with the NLRB).
  • THAT IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT IS ‘AT WILL’ AND BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE
  • THAT 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, EXCEPT THAT THE ARBITRATION AGREEMENT SHALL REMAIN IN FULL EFFECT.
  • THAT I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN ALBERT LEVY, AND THEN ONLY WHEN IN WRITING AND SIGNED, 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.
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