Today's Date
*
MM
DD
YYYY
Which Pompano Joe's location are you applying for
*
Local Phone Number
*
Permanent Phone Number
Email address
Do you have a Social Security Card?
Referred By
Position Desired
Available Start Date
MM
DD
YYYY
Salary Desired
Are You Currently Employed?
If so, may we inquire of your present employer?
Are you at least 18 years of age or older?
If not, please state your age
Are you a U.S. citizen or do you have permission to live and work in the United States?
Have you ever applied with or worked at any Southern Restaurant Group affiliated property?
If yes, where? / when?
Last year completed
Did you graduate
Last year completed
Did you graduate
Last year completed
Did you graduate
Activities other than religious (civic, athletic, etc.). Exclude organizations if the name or character of which indicates the race, age, sex, color or national origin of it's members
Started working there
MM
DD
YYYY
Stopped working there
MM
DD
YYYY
Address of most recent employer
Salary
Position
Supervisor's name
Reason for leaving
Started working there
MM
DD
YYYY
Stopped working there
MM
DD
YYYY
Address of 2nd most recent employer
Salary
Position
Supervisor's name
Reason for leaving
Started working there
MM
DD
YYYY
Stopped working there
MM
DD
YYYY
Address of 3rd most recent employer
Salary
Position
Supervisor's name
Reason for leaving
Started working there
MM
DD
YYYY
Stopped working there
MM
DD
YYYY
Address of 4th most recent employer
Salary
Position
Supervisor's name
Reason for leaving
Address
Business
Years acquainted
Address
Business
Years acquainted
Address
Business
Years acquainted
Have you ever been convicted of a crime?
*
If yes, explain
By hitting the submit button below, you are indicating that the information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in your dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. In order to provide SRG with information and opinions that may be useful in our hiring decisions, I hereby authorize any person, school, current or past employer, organization or entity disclosed in this application or during my interview to provide any information regarding me, including without limitation, the information concerning my performance, reputation and character. I acknowledge that the information divulged may be negative or positive with respect to me. Nevertheless, pursuant to this authorization, I unconditionally release such person, school, employer, organization or entity from any and all legal liability for furnishing such information and in making such statements. If SRG decides to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained, SRG must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report. EMPLOYMENT WITH SOUTHERN RESTAURANT GROUP IS "EMPLOYMENT AT-WILL", THEREFORE, EMPLOYMENT MAY BE TERMINATED AT WILL, WITHOUT RECOURSE, WITHOUT NOTICE AND WITHOUT CAUSE.
MM
DD
YYYY
