APPLY - The Town Tavern

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

If you are under 18, and it is required, can you furnish a work permit? *

Yes
No
NA

Are you eligible to work in the United States *

Yes
No

Have you ever been convicted of or pleaded no contest to a felony? *

Yes
No

If YES, please provide the date(s) of the convictions or pleas and the nature of the offenses

Answering “yes” to these questions does not constitute an automatic bar to employment. Applicants need not disclose information related to convictions that have been expunged or pardoned or for which the records relating to such convictions have been sealed or destroyed pursuant to court order. Only offenses that are substantially related to the position will be given consideration.

Availability

Please select the shifts below you are able to work

Date you can start *

Employment History

Provide the following information of your past three (2) employers, assignments or volunteer activities, starting with the most recent.

Employer 1

Company Name

Location

Position Or Title

Responsibilities

Reason For Leaving

Dates Employed

May we contact for reference?

Yes
No

Employer 2

Company Name

Location

Position Or Title

Responsibilities

Reason For Leaving

Dates Employed

May we contact for reference?

Yes
No

Education

Please provide the following information regarding your educational history.

High School Name & Location

High School Degree or Diploma

Yes
No

College Name & Location

College Degree or Diploma

Yes
No

College Courses Studied

Applicant Statement - Do not sign until you have read the applicant statement below

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. Also, I understand that denial of employment or, if hired, termination of employment may occur if the employer discovers the falsification or material omission of information. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you. If I am hired, I understand and agree that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand and agree that no manager or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the company’s owners. I agree that any claim or lawsuit relating to my service with Town Tavern must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete a form i-9 in this regard. I certify that I have read, fully understand and accept all terms of the foregoing applicant statement.

Applicant Signature *

Please type your name

Today's Date *