575 EMPLOYEES GETTING STARTEDWe consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status or any other legally protected status.Name First Name Middle Name Last Name Email* Phone Number*Which 575 location are you applying for*Hillside Rd., AmarilloCivic Circle, AmarilloWhat position are you applying forBOH PositionsHost or To-Go CashierServerBartenderManagerPlease note: You must be at least 21 years old to apply as a bartender or server.How did you hear about this jobFacebookWalk-inEmployeeRelativeOther ABOUT YOUYour Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code If hired, do you have a reliable means of transportation to get to work?* Yes No Are you at least 18 years old?* Yes No Are you legally eligible for employment in the US?* Yes No Have you been convicted of a felony?* Yes No Are you a veteran?* Yes No EMPLOYMENT INFORMATIONWhat type of employment are you seeking?* Full Time Part Time Temporary / Seasonal What hours and shift(s) would you prefer to work?*What times are you not available for work?*Are you currently employed?* Yes No If hired, when would you be able to start?* MM slash DD slash YYYY Have you ever worked for this organization before?* Yes No List any friends or relatives employed by this company:Have you ever been discharged or asked to resign from any position?* Yes No Are you able to lift 50 lbs?* Yes No Are you able to spend 6-9 hours on your feet at a time?* Yes No Please explain any specialized training or courses you have received that relate to this position: EDUCATIONHighest Grade Achieved 8 9 10 11 12 GED WORK HISTORYDo you have past or current employers?* Yes No How many?* One Two Three Four or more May we contact all of the employers listed?* Yes No EMPLOYMENT HISTORYMost Recent Employer's DetailsCompany Name*Phone*Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employment Start Date* MM slash DD slash YYYY Employment End Date* MM slash DD slash YYYY Ending SalarySupervisor's Name & Title*Supervisor's contact phone numberJob Title*Describe Duties Briefly*Specific Reason for Leaving Second Employer's DetailsCompany 2 Name*Phone*Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employment Start Date* MM slash DD slash YYYY Employment End Date* MM slash DD slash YYYY Ending SalarySupervisor's Name & Title*Supervisor's contact phone numberJob Title*Describe Duties Briefly*Specific Reason for Leaving Third Employer's DetailsCompany 3 Name*Phone*Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employment Start Date* MM slash DD slash YYYY Employment End Date* MM slash DD slash YYYY Ending SalarySupervisor's Name & Title*Supervisor's contact phone numberJob Title*Describe Duties Briefly*Specific Reason for Leaving Fourth Employer's DetailsCompany 4 Name*Phone*Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employment Start Date* MM slash DD slash YYYY Employment End Date* MM slash DD slash YYYY Ending SalarySupervisor's Name & Title*Supervisor's contact phone numberJob Title*Describe Duties Briefly*Specific Reason for Leaving AUTHORIZATIONS & AT-WILL EMPLOYMENT AGREEMENTI certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification form my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired. I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter.If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician. AT-WILL EMPLOYMENT AGREEMENT I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company's President is authorized to change the employment at-will status and such a change can only be done in writing. I have read, understand, and agree to the above.Digital Signature* I have read and agree with the above statement. Δ
