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Location(s) Applying for

Moran's Bar & Grille

Pat & Gracies

Matt and Tony's Woodfired Kitchen

Matt and Tony's At Home

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home phone

(###)

###

####

Mobile phone

(###)

###

####

Have you ever been employed by Matt & Tony's? *

yes

no

If hired, can you present evidence of your identity and right to work in the US? *

yes

no

Do you have reliable means of transportation to and from work? *

yes

no

Are you of legal age to serve alcohol at this time in this state? *

yes

no

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. *

I accept

I decline

Date available for employment *

MM

DD

YYYY

Our restaurant is open 7 days per week. Do you have any regularly scheduled or intermittent obligation, which many affect your availability to work? *

yes

no

Please Check Your Hours and Days Available to Work: *

Monday (day)

Monday (evening)

Tuesday (day)

Tuesday (evening)

Wednesday (day)

Wednesday (evening)

Thursday (day)

Thursday (evening)

Friday (day)

Friday (evening)

Saturday (day)

Saturday (evening)

Sunday (evening)

Sunday (evening)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

From

MM

DD

YYYY

To

MM

DD

YYYY

Reason for Leaving

Resigned with Notice

Resigned without Notice

Terminated

Eligible for Rehire

yes

no

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

From

MM

DD

YYYY

To

MM

DD

YYYY

Reason for leaving

Resigned with Notice

Resigned without Notice

Terminated

Eligible for Rehire

yes

no

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

From

MM

DD

YYYY

To

MM

DD

YYYY

Reason for leaving

Resigned with Notice

Resigned without Notice

Terminated

Eligible for Rehire

yes

no

Highest level of education *

no schooling completed

nursery school to 8th grade

some high school, no diploma

high school graduate, diploma or equivalent (example: GED)

some college credit, no degree

trade/technical/vocational training

associate degree

bachelor's degree

master's degree

professional degree

doctorate degree

Have you ever been convicted or pleaded “guilty” or “no contest” to a felony? *

Applicants may check “No” and need not disclose 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. ***Answering “Yes” is not an automatic disqualification for consideration of employment.***

yes

no

Will you receive a satisfactory reference from your current and all previous employers? *

yes

no

Have you ever been discharged or asked to resign by an employer? *

yes

no

Signature of Applicant *

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

I accept

i do not accept

Date of signature

MM

DD

YYYY