Name
Phone
Email
What Position Are You Applying For* required Availability* required Do you currently hold a valid Food Handler certification?* required If yes, enter expiration date:
Do you currently hold a valid Workplace Violence Prevention certification?* required If yes, enter expiration date:
Do you currently hold a valid Sexual Harassment Prevention certification?* required If yes, enter expiration date:
Are you currently certified through California’s Responsible Beverage Service Program?* required If yes, enter RBS number & Expiration Date:
Desired Hours Per Week* required
Name and Address of Previous Employer
Phone
Start and End Date
Position
May We Contact?* required Yes No
Name and Address of Previous Employer
Phone Number
Start and End Date
Position
Name and Address of Previous Employer
Start and End Date
Phone
Position
May We Contact Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?* required Yes No
Do You Have Transportation?* required Yes No
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Cantina Jack's to hire me. I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I hereby authorize the company to thoroughly investigate my references, previous employers, work record, education, professional licensing authorities, and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure. I understand that nothing contained in the application, or conveyed during any interview that may be granted or during my employment, if hired, is intended to create an employment contract between Cantina Jack's and me. In addition, I understand that, if employed, my employment with Cantina Jack's is employment at-will. Employment at-will may be terminated at any time, with or without prior notice, at the option of the employer or at the option of the employee. No promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by the President. I further understand that I have a right, under Section 606(b) of the Fair Credit Reporting Act, to make a written request to the company within a reasonable period of time for a complete and accurate disclosure of the nature and scope of the investigation requested. Click Yes If You Agree
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