Application

Please answer all questions. Resumes are not a substitute for a completed application.

I understand that neither this application nor any communication by a management representative is intended to create or does create a contract of employment, offer or promise of employment. I acknowledge that if hired by the company, employment is on an at-will basis. This means the company is free to terminate my employment at any time, with or without cause or advance notice, in accordance with state law, and acceptance of employment is not a contract of employment for any specified time. Similarly, I am free to terminate my employment with the company at any time for any reason. This at-will provision may be modified or waived only in a written agreement signed by an authorized representative of the company and me. I agree to conform to the rules and regulations of the company, and I understand that the company has complete discretion to modify such rules and regulations at any time, except that it will not modify its policy of employment at-will.

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability7, or any other consideration made unlawful by by applicable federal, state or local laws.
Position Applied For:
Social Security Number:
Name:
Telephone Number:
Street Address:
City/State/Zip:
Are you able at the time of employment to submit verification of your legal right to work in the U.S.? (Verification and completion of form I-9 must be submitted no later than three business days after date of hire.)
If under the age of 18, can you produce the necessary work certificate at the time of employment?

Type of Employment Desired:
Are you willing to work overtime?
Date You Can Start:
Have you applied with us before?
If yes, when did you apply?
Within the past ten years, have you been convicted of a felony? (Do not include convictions that were sealed, eradicated, erased or expunged; convictions that resulted in referral to a diversion program; or marijuana-related convictions that are more than two years old.)
If yes, please explain so that individual circumstances can be considered:

Note:

  • Criminal convictions will not automatically disqualify an applicant from a particular job. The Company will consider the nature of the crime, its seriousness, whether the conviction(s) substantially relates to the position's functions and qualifications, the frequency of the convictions, the applicant's age at the time of conviction, the time elapsed since the date of conviction or completion of jail sentence, the applicant's entire work and educational history, and employment references and recommendations.
  • An ex-offender who is denied employment may, upon written request, receive a statement of the reason(s) for denial within 30 days of the applicant's request for such information.

CALIFORNIA APPLICANTS: This does not include convictions under California Health & Safety Code 11357(a) or (b), 11360(c), 11364, 11365 or 11550 related to marijuana which occurred two or more years before the instant application.
CONNETICUT APPLICANTS: Applicants are not required to disclose the existence of any arrest, criminal charge, or conviction, the records of which have been erased. Criminal records subject to erasure are records pertaining to a finding of delinquency or the fact that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that has been dismissed or nolled (not prosecuted), a criminal charge for which the person was found not guilty, or a conviction for which the offender received an absolute pardon. Any person whose criminal records have been erased is deemed to have never been arrested within the meaning of the law as it applies to the particular proceedings that have been erased, and may so swear under oath.
MASSACHUSETTS APPLICANTS: Applicants for employment with a sealed record on file with the Massachusetts Commissioner of Probation may answer "No Record" with respect to all inquiries relating to prior convictions.

Have you ever initiated an act of violence in the workplace?
If Yes, please explain so that individual circumstances can be considered. (A Yes answer will not necessarily disqualify you from employment.)
Please list special technical skills that you feel qualify you for the job for which you are applying (i.e., computer programming/language, software, equipment operation, special tools or machines, etc.):
Education
School Name
Course of
Study
Graduate?
#of Years
Completed
Degree/
Major
High School
 
College
Bus./Tech./Trade
or Post College
Honors Received:
WORK EXPERIENCE
Start with your present or last place of employment. You may include any verifiable work performed on a volunteer basis, internships, or military service.
Most Recent
Employer/Business Name:
Employer Address:
Type of Business:
Phone Number:
Employment Dates:
From:    To:
Job Title:
Supervisor's Name:
May we contact?
Wages - Start:
Wages - Final:
Reason for Leaving:
Duties:
Next Most Recent
Employer/Business Name:
Employer Address:
Type of Business:
Phone Number:
Employment Dates:
From:    To:
Job Title:
Supervisor's Name:
May we contact?
Wages - Start:
Wages - Final:
Reason for Leaving:
Duties:
REFERENCES
Name
Position
Company
Work
Relationship
Telephone
Number

APPLICANT CERTIFICATION
I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver's license and automobile liability insurance in an amount equal to the minimum required by the state where I reside.

I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with the applicable federal, state and local law. I also understand that all employees of the location, pursuant to the Company's policy and federal, state and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or controlled drugs. If employed, I understand that the taking of of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company's policies and applicable federal, state and local law.

If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and in certain circumstances, my personal property.

I understand and agree that as a condition of employment and to the extent permitted by federal, state and local law, I may be required to sign a confidentiality, non-compete, and/or conflict of interest statement.

By pressing the "Submit" button below, I am certifying that all of the information on this application is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation or omission of any information may result in disqualification from consideration for employment, or if employed, disciplinary action, up to and including immediate dismissal.

I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATIVE IS INTENDED TO CREATE OR DOES CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT. I ACKNOWLEDGE THAT IF HIRED BY THE COMPANY, EMPLOYMENT IS ON AN AT-WILL BASIS. THIS MEANS THE COMPANY IS FREE TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE. IN ACCORDANCE WITH STATE LAW, AN ACCEPTANCE OF EMPLOYMENT IS NOT A CONTRACT OF EMPLOYMENT FOR ANY SPECIFIED TIME. SIMILARLY, I AM FREE TO TERMINATE MY EMPLOYMENT WITH THE COMPANY AT ANY TIME FOR ANY REASON. THIS AT-WILL PROVISION MAY BE MODIFIED OR WAIVED ONLY IN A WRITTEN AGREEMENT SIGNED BY AN AUTHORIZED REPRESENTATIVE OF THE COMPANY AND ME. I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.

By pressing the "Submit" button below, I authorize the Company or its agents to confirm all statements contained in this application as it relates to the position I am seeking and to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation.

I also authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge and hold harmless, to the extent permitted by federal, state and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability the Company and its representative for seeking such information ad all other persons, corporations, or organizations furnishing such information.

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 LIE DETECTOR OR SIMLIAR TEST. ANY EMPLOYER WHO VIILATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

UNDER MASSACHUSETTS LAW, IT IS UNLAWFUL FOR AN EMPLOYER TO REQUIRE OR TO ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT.

FEDERAL AND/OR STATE LAW MAY PROHIBIT THE USE OF POLYGRAPH OR SIMILAR TESTS AS WELL.

THIS APPLICATION MAY NOT BE APPLICABLE FOR ALL INDUSTRIES.

760.744.7700
1020 San Marcos Blvd. San Marcos
(In Restaurant Row)

 

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