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New Job Application
I was referred by:
Are you at least 16 years of age?
*
Yes
No
Which locations do you desire employment? Check all that apply?
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Granite Bay (Sierra College Blvd)
Roseville (Douglas Blvd)
Rocklin (Rocklin Road)
Folsom (Folsom-Auburn Road)
What is your availability? Check all that apply.
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Full Time
Part Time
Weekends
For what position(s) are you applying? Check all that apply.
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Kitchen Cook
Dishwasher
Busser
Server
Host/Hostess
Management
How many years experience do you have in the restaurant industry?
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Less than one
1-3 years
3-5 years
Over 5 years
Personal Information
Name
*
First
Middle
Last
Email
Phone
Present Address
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Street Address
City
State / Province / Region
ZIP / Postal Code
Employment Desired
Position
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Date Available
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MM slash DD slash YYYY
Desired Wage
*
Weekly Hours
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Full Time
Part Time
Specify Days Available
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Specify Times Available
*
Have you ever worked for this Company before?
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Yes
No
If yes, please provide timeframe, location and name of supervisor
Education
Did you graduate from high school?
Yes
No
If "yes" provide the school name and location
Complete the following for all education after high school:
Additional Education #1
Name and Location of School
Subjects Studied
Did you graduate?
Yes
No
Additional Education #2
Name and Location of School
Subjects Studied
Did you graduate?
Yes
No
Additional Education #3
Name and Location of School
Subjects Studied
Did You Graduate?
Yes
No
List Relevant Experience or Special Skills
*
Employment History
Describe ALL previous employment. Begin with your most recent employer. Do not omit any employer and describe the reason for any gaps in employment. Use additional paper if necessary to provide a complete response.
Employer #1
Company Name/Address/Phone
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Start Date
*
Start Position
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End Date
*
End Position
*
Supervisor's Name/Title
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Responsibilities
*
Reason for Leaving
Employer #2
Company Name/Address/Phone
Start Date
Start Position
End Date
End Position
Supervisor's Name/Title
Responsibilities
Reason for Leaving
Employer #3
Company Name/Address/Phone
Start Date
Start Position
End Date
End Position
Supervisor's Name/Title
Responsibilities
Reason for Leaving
References
Identify three persons, not related to you, whom you have known for at least two years.
Reference #1
Name/Address/Phone
*
Business/Occupation
*
How Are You Acquainted?
*
Reference #2
Name/Address/Phone
Business/Occupation
How Are You Acquainted?
Reference #3
Name/Address/Phone
Business/Occupation
How Are You Acquainted?
Additional Information & Notices
Have you ever initiated an act of violence in the workplace?
*
Yes
No
A "yes" answer to this question will not necessarily disqualify you. Please explain any "yes" answer so that individual circumstances can be considered.
You may be required to answer questions about criminal convictions if a job offer is extended. The Company will make an individualized evaluation of whether your conviction history has a direct and adverse relationship with the specific job duties job. Factors considered will include the nature and gravity of the offense, date of the conviction, the completion of a sentence, and the nature of the job applied for. You may be required to undergo a drug/alcohol examination. The examination includes laboratory testing or a urine sample from a prospective employee to determine the presence of certain drugs and/or alcohol in the body. You should not rely upon a contingent offer of employment from Mario’s Early Toast or otherwise engage in any activity based upon a contingent offer of employment. Unless or until a final offer of employment is made, you should not take any action which could result in financial loss if a contingent offer is withdrawn, such as giving notice of intent to terminate current employment, selling real estate, or incurring any other costs associated with accepting employment with Mario’s Early Toast. No such activity should be undertaken until after medical clearance has been received and you have received a final offer of employment from Mario’s Early Toast. Under no circumstances should you report to work before medical clearance is received. New employees are required to produce verification of their legal right to work in the United States.
If you are offered employment, can you produce documentation of your identity and right to work in the United States, and attest under penalty of perjury that the documents you produce are genuine and relate to you? _
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Yes
No
Agreements
I authorize the investigation of all information provided in this application, information provided in the application process and in any supporting documents. I understand that falsification, misrepresentation or omission of facts will result in immediate dismissal or removal of my application from consideration. I authorize Mario’s Early Toast to secure information about my background and experience from other employers, educational institutions, references and government agencies, and for those parties to provide information concerning my background and experience. I release all parties from any liability arising there from. If Mario’s Early Toast employs me, I agree to conform to the rules and regulations of Mario’s Early Toast. I also understand and agree that, except for arbitration and employment-at-will status, my wages, hours, working conditions, job assignments and compensation are subject to change by Mario’s Early Toast. I understand my employment can be terminated, with or without cause and with or without notice, at any time at the option of Mario’s Early Toast or myself. I understand that, other than the President of Mario’s Early Toast, no manager, supervisor or representative of Mario’s Early Toast has authority to enter into any agreement for employment for any special period of time, or to make any agreement contrary to at-will employment. Only the President of Mario’s Early Toast has the authority to change my at-will status, and then only in a writing expressly changing my at-will status and expressly referencing and waiving these policies.
Arbitration
To resolve disputes arising from the application process or from the employment relationship (if I am offered employment) in an efficient and cost-effective manner, Mario’s Early Toast agrees that any and all such claims that could be filed in a court of law, including but not limited to, claims of unlawful harassment or discrimination, wrongful failure to hire, wrongful demotion, defamation, wrongful discharge, breach of contract or invasion of privacy, shall be submitted to final and binding arbitration, and not to any other forum. The arbitrator shall conduct the arbitration in accordance with the procedures set forth in the most recent versions of the National Rules for the Resolution of Employment Disputes of the American Arbitration Association. However, no procedures of the American Arbitration Association shall invalidate the enforceability of this Agreement. The arbitration need not be administered by the American Arbitration Association. Mario’s Early Toast shall pay the costs that are unique to the arbitration forum, such as the arbitrator’s fee. The arbitrator shall determine the prevailing party in the arbitration. Costs and attorneys’ fees shall be awarded to the prevailing party in accordance with the same legal standards that would apply had the action been filed in court. The arbitrator shall have the authority to order any legal and/or equitable remedy that would be available in a civil or administrative action on the claim. The arbitrator shall prepare a brief written decision that includes the essential findings and conclusions upon which the award is based. This arbitration shall be the exclusive means of resolving any claim arising out of my application for employment and employment (if any), and no action will be filed in any court or other forum. However, nothing in this agreement will affect National Labor Relations Board, Workers’ Compensation Appeals Board, Unemployment Insurance Appeals Board, Department of Fair Employment and Housing or Equal Employment Opportunity Commission proceedings, petitions for judicial review of a decision issued after an administrative hearing or the ability of either party to seek injunctive relief in an appropriate court of law. If any court of competent jurisdiction declares that any part of this arbitration agreement is illegal, invalid or unenforceable, such a declaration will not affect the legality, validity or enforceability of the remaining parts of the agreement and the illegal, invalid or unenforceable part will no longer be part of this agreement. This Arbitration Agreement is a Waiver of All Rights to a Civil Jury Trial for Any Claim Arising the Application for Employment and Employment (if any).
Acknowledgement
My signature below certifies that I have read and understand this application, and to the best of my knowledge, the information I provided is true and correct. My signature below also certifies that I agree to be bound by the terms and conditions of employment stated in this application, including at-will employment and arbitration of disputes. This application contains all the understandings and agreements between me and Mario’s Early Toast concerning the nature of my employment, if any, by Mario’s Early Toast, and supersedes all prior and/or contemporaneous practices, oral or written agreements, understandings, representations and promises, express or implied, between me and Mario’s Early Toast.
Applicant Signature
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Date
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MM slash DD slash YYYY
It is Mario’s Early Toast’s policy to make all employment decisions without regard to an individual’s race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, military and veteran status, registered domestic partner status or any other basis made unlawful by applicable law. Mario’s Early Toast is an equal opportunity employer and selects employees on the basis of qualifications. Please contact the General Manager of Mario’s Early Toast. if you have any questions or complaints regarding this policy.
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