JOB OPPORTUNITY

STATEMENT OF VALUES

Dear applicant, prior to completing the application for employment, please understand that we are serious about creating a positive,
productive working environment for our staff and maintaining the highest levels of quality, service and attention for our guests.

We want you to understand that we also believe in living our values, some of which are:

• We believe that good enough isn’t.

• We believe in doing business in a professional and orderly manner.

• We believe in honesty and integrity.

• We believe that only a happy and professional staff can give the level of personal service we demand.

• We believe in the ongoing training and development of our staff and see it as a worthy investment in the future of the company.

• We believe in providing legendary service – the unique and powerful sort of personal care and attention that our guests tell stories about.

• We believe that everyone is capable of being an A+ player.

If this feels like an environment for you, please download, print, and complete the application below and bring it in to us.

DOWNLOAD A PRINTABLE APPLICATION

Submit Application Online

Job Application

Position(s) applied for:

Date:

How did you find out about this job?

Why are you seeking a new job at this time?

Applicant Information

Name:

Street Address

City

State

Zipcode

Social Security No.

Phone Number

If hired, do you have a reliable means of transportation to get to work? Yes No

Describe:

Are you at least 18 years old? Yes No

If you are under 18 years of age, can you furnish a work permit?

If the job you are applying for requires driving:

Driver's License No.

State

Expiration Date:

Are you legally eligible for employment in the United States? Yes No

Have you been convicted of a crime? Yes No

If yes, state the nature of the offense and disposition of the case. Include dates and places.

Are you a veteran? Yes No

If yes, give dates of service:

From

List any special skills or training:

Employment Information

Are you seeking full time, part time, or temporary employment?

What hours and shift would you prefer to work?

List times you are not available to work:

Are you willing to work...

Overtime? Yes No

Weekends? Yes No

Holidays? Yes No

Are you currently employed? Yes No

If hired, when would you be able to start?

Have you ever worked for this organization before? Yes No

If yes, name used:

List any friends or relatives employed by this company:

Have you ever been discharged or asked to resign from any position? Yes No

If yes, please describe:

If applicable, please refer to the job description for which you are applying.

Are you able to perform all these tasks with or without reasonable accommodation? Yes No

Please describe which tasks, if any, you will need accommodation to perform and what kind.

Secondary Education

Select Highest level achieved: 9 10 11 12 G.E.D

Name of School:

Location of School

If in High School, are you enrolled in a recognized co-op program? Yes No

If yes, identify program and school:

College:

Circle Highest Level Achieved Not Applicable 1 2 3 4 5 6 7 8

Name of School

Location of School

Degree & Major

Minor

Work History

Please begin with the most recent

Most Recent Work History:

Company:

Phone Number:

Address:

City:

State:

Zipcode:

Dates of Employment:

Beginning:

Ending:

Salary:

Beginning:

Ending:

Job Title:

Briefly describe duties:

Specific reason for leaving:

Supervisor's Name & Title

Supervisor Name:

Supervisor Title:

Company:

Phone Number:

Address:

City:

State:

Zipcode:

Dates of Employment:

Beginning:

Ending:

Salary:

Beginning:

Ending:

Job Title:

Briefly describe duties:

Specific reason for leaving:

Supervisor's Name & Title

Supervisor Name:

Supervisor Title:

Company:

Phone Number:

Address:

City:

State:

Zipcode:

Dates of Employment:

Beginning:

Ending:

Salary:

Beginning:

Ending:

Job Title:

Briefly describe duties:

Specific reason for leaving:

Supervisor's Name & Title

Supervisor Name:

Supervisor Title:

Company:

Phone Number:

Address:

City:

State:

Zipcode:

Dates of Employment:

Beginning:

Ending:

Salary:

Beginning:

Ending:

Job Title:

Briefly describe duties:

Specific reason for leaving:

Supervisor's Name & Title

Supervisor Name:

Supervisor Title:

For Reference Purposes:

Have you worked for any of these organizations under a different name? Yes No

If yes, give name and organization:

May we contact the employers listed above? Yes No

If not, list the employers you do not with us to contact and why:

Authorization & At-Will Employment Agreement

I 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-atwill status and such a change can only be done in writing. I have read, understand, and agree to the above.

Signature

Verification

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Thank You for submitting you application to work with us at Salam Restaurant. We will review your application and reach out to you soon!

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