Employment Application Superior Grill Employment Application Step 1 of 5 20% Your Personal InformationYour Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Your Email Address Enter Email Confirm Email Your PhoneBest Time To Call YouWhen is the best time for us to reach you via telephone?MorningsEarly AfternoonLate AfternoonEarly Evening Position You're Applying ForDate Available To Start MM slash DD slash YYYY Date of Birth MM slash DD slash YYYY Position You're Applying For Back of House Front of House Hours You Are Available for Work (AM)Please tell us what hours you are available for work each day of the week.MondayTuesdayWednesdayThursdayFridaySaturdaySunday Add RemoveHours You Are Available for Work (PM)Please tell us what hours you are available for work each day of the weekMondayTuesdayWednesdayThursdayFridaySaturdaySunday Add RemoveAre you 18 years or Older? Yes No Are you Citizen of the United States? Yes No Are you legally authorized to work in the U.S. ? Yes No Have you Ever Worked for Superior Restaurant Group? Yes No Please Explain when you were hired, what position you held, and why you left.What is your Desired salary range or hourly rate?Type of Employment desired? Full Time Part Time Seasonal Temporary Have you ever been convicted of a felony?Answering "yes" to the following question does not constitute an automatic bar to employment Yes No If you said yes to a felony please explainPrevious EmploymentYour Previous EmployersPlease list your previous employers, the dates you worked and the position you heldEmployerDatesPositionPhoneWhen did you leave?May we contact this employer? Add RemoveEmployerDatesPositionPhoneWhen did you leave?May we contact this employer? Add RemoveEmployerDatesPositionPhoneWhen did you leave?May we contact this employer? Add RemoveExplain Any Gaps in your employment, other than those due to personal illness or injury or disablities: Educational BackgroundSchoolCityStateLevel of CompletionAttended FromSchoolCityStateLevel of CompletionAttended FromSchoolCityStateLevel of CompletionAttended From Skills and QualificationsComputer Skills ( Include software titles and years of experience.)Word Processing:Years:Spread Sheets:Years:Presentation:Years:Graphic Design:Years:Digital Marketing:Years:List special accomplishments, publication awards, etcExclude memberships that would reveal race, color, religion, national origin, citizenship, age, mental or physical disabilities, veteran / reserve national guard or any other similar protected status. ReferencesNameYears KnownRelationshipPhone Add RemoveNameYears KnownRelationshipPhone Add RemoveNameYears KnownRelationshipPhone Add Remove Applicant Statement(DO NOT SUBMIT UNTIL YOU HAVE READ AND UNDERSTOOD DISCLAIMER AND AGREEMENT)Terms and Conditions(Required)Disclaimer and Signature I certify that my above answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I authorize any person, organization or company listed on this application to furnish you all information concerning my previous employment, education, and qualifications for employment. I also authorize you to request and receive such information. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company’s sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself. I agree to the terms and conditions.Upload Your ResumeUpload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB. Δ
