Roadhouse Orange Park

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Employment Application

Roadhouse Orange Park Employees 

Roadhouse wait staff raising money for
Making Strides Against Breast Cancer”

 

The Roadhouse Orange Park  is always looking for new people to join our family of fun and energetic employees.  The company was founded in 1976 and is in a continuous state of growth.  We are seeking positive team members to join our friendly, competent staff to provide the best possible service to our customers.  In return, we offer competitive pay and benefits as well as training and advancement opportunities. 

Thank for considering employment with us.  The Roadhouse is an equal opportunity employer.

Employment Application
Today's Date (*)

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PERSONAL INFORMATION

Full Name (*)

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Street Address (*)

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City (*)

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State (*)

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Zip (*)

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Phone (*)

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E-mail (*)

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Are any of your relatives presently employed with The Roadhouse? (*)

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If yes Name of relative

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Have you ever worked for The Roadhouse before? (*)

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If Yes, Where?

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Approximate Date Mo./Yr.

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Have you ever applied to The Roadhouse before? (*)

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If Yes, Where?

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Approximate Date: Mo./Yr.

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How were you referred? (*)

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GENERAL INFORMATION

Are you at least 18 years or older? ..... If NO, you may be required to provide authorization to work (*)

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Have you ever been convicted of a crime or violation other than a minor traffic infraction? (*)

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If yes, please explain:

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A conviction record will not necessarily be a bar to employment. Factors such as a job relations,age and time of the offense, seriousness and nature of violation and rehabilitation will be taken into account.

Have you ever been discharged from any employment or asked to resign? (*)

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If yes, please explain:

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Please check availability

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Please Check Availability

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Section A ......... I am only available PART TIME because

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Section B
Days Available (Check all that Apply if you are not available all days)

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Note: Work schedules are based upon the needs of the business and may be subject to change weekly.

Position applying for

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Date Available for work : MM/DD/YYYY

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EMPLOYMENT HISTORY


Begin with your most recent employment (1) and continue with all past employments


EMPLOYER 1

Name of company

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Address

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City

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State

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Zip

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Type of Business

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Phone

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Employed from Mo./Yr.

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Employed to: Mo./Yr.

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Starting Salary

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Ending Salary

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Job Description

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Reason for Leaving

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Name and title of Immediate Supervisor

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Explain any period between jobs

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May we contact your Employer

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EMPLOYER 2

Name of company

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Address

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City

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State

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Zip

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Type of Business

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Phone

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Employed from Mo./Yr.

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Employed to: Mo./Yr.

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Starting Salary

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Ending Salary

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Job Description

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Reason for Leaving

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Name and title of Immediate Supervisor

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Explain any period between jobs

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May we contact your Employer

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EDUCATION


High School

Name and Address of High School

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Major Subject

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Check last year attended

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Graduated

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College

Name and Address of College

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Major Subject

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Check last year attended

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Graduated

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Degree

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Trade School

Name and Address of Trade School

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Major Subject

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Check last year attended

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Graduated

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Degree

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Other School

Name and Address of Other School

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Major Subject

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Check last year attended

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Graduated

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Degree

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NOTIFICATION AND AGREEMENT


PLEASE READ BEFORE SIGNING


I certify that all answers given by me are true and complete. I understand that the falsification, misrepresentation or ommision of facts on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how dicovered. Questions regarding this statement should be directed to any employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be hired. It is the police of the Company to afford equal opportunity to all employees and applicants for employment without regard to age, race,religion,color,sex,national origin,marital status,expunged juvenile records,or pregnancy, and to afford equal opportunity to disabled veterans,veterans of the Vietnam era,and individules with a disability,and any other characteristic protected by Federal,State or Local law. I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation.


If hired,I agree to be abide by all of the Company rules an regulations, and understand that , if employed, myemployment may be terminated with or without cause, and with or without notice, at any time, at the option of either the Company or me. I further understand that no representation, whether oral or written by any representative or agent of the Company, at any time, can constitute a contract of employment. I understand that the Company and all Plan Administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, or enhance or otherwise change all policies, procedures, benefits or other terms or conditions of employment. No representative or agent of the Company, has the authority to enter into any agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the President or Executive Vice president, or to make any agreement contrary to the forgoing.

I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me. (*)

Please check the box to continue.
Applicant Signature (*)

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Date (*)

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