Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred Contact Method: *

Phone Call

Text Message

E-mail

Current Age Range: *

15-16

17-18

19-20

21+

What Position Are You Seeking? *

Check all that apply

Kitchen Line (evening)

Server/Bartender

Host

Food Runner/Busser

Dishwasher

What date are you looking to start?

MM

DD

YYYY

Have you been convicted of a felony within past 10 years? *

Conviction will not necessarily disqualify an applicant from employment

yes

no

Are you currently employed? *

yes

no

Are you authorized to work in the US *

Yes

No

This is me *

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to teds market or its subsidiaries. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at anytime without prior notice.

Agree

Decline

Release of Information *

This is to authorize release to teds beerhall, teds market, and/or its agents or representatives any and all information pertaining to my school attendance, transcripts, and/or past employment records, including employment dates, job titles, salary, job performance, reason for termination, and reemployment possibilities. Furthermore, I authorize the release of information regarding police records, including felonies, misdemeanors, and traffic violations, to teds market, or its subsidiaries, for the purpose of verifying employment information. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice.

Agree

Decline