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Employment
Contact Information
Name:
Phone:
Email:
Contact Address
Street:
City:
State/Province:
Zip/Postal Code:

Requested Information
Are you 18 years of age or older?
Are you legally authorized to work in the United States?
What position are you applying for?
Desired Compensation:
Available Start Date:
How did you hear about this opportunity?
If referred by a current employee, please give employee name:
Are you willing to relocate?
Are there contractual restrictions which would prevent your acceptance of employment with the Company?
Are you legally able to serve alcohol?
Are you able to work holidays?
Have you ever been employed by The Surf Restaurant Bar & Beach Motel or any of it's affiliated companies?
If yes, please explain:
Have you ever submitted an application to The Surf Restaurant Bar & Beach Motel or any of it's affiliated companies?
If yes, please explain:
Do you have any relatives or acquaintances employed by The Surf Restaurant Bar & Beach Motel?
If yes, please explain:

Employment History - Please provide the following requested information regarding your employment history: Include military service assignments and volunteer activities. You may exclude organization names that include race, color, religion, gender, national origin, ancestry, age, disability or other protected status.
Current or Most Recent Employer | Are you currently employed?
Employer Name
City & State
Title
Start Date
End Date
Reason For Leaving:
Explanation
Rate of Pay
Direct Supervisor
Company Phone
OK to Contact?
Responsibilities and Duties:
Previous Employer | Employer Name
City & State
Title
Start Date
End Date
Reason For Leaving:
Explanation
Rate of Pay
Direct Supervisor
Company Phone
OK to Contact?
Responsibilities and Duties:

Education/Training
What is your highest level of education completed?
Institution Name(s)
Graduate?
Major(s)
Degree(s) or Certification(s):
List any professional licences:

Applicant's Statement
I understand that The Surf Restaurant Bar & Beach Motel confirms that all new hires are authorized by the federal government to work in the United States and that The Surf Restaurant Bar & Beach Motel may participate in the Electronic Employment Eligibility Verification System as a means of verifying applicants’ authorization to work in the United States. I authorize and request all of my present and former employers, school authorities, references, and other individuals and entities, to give information concerning me, whether or not it is on its records, and I release them and their companies, and the Company from any liability whatsoever arising from furnishing the requested information. I also authorize the Company to give information concerning me, whether or not it is on their records, to prospective employers in the future, and release the Company and its employees from any liability whatsoever in this regard. In the event of employment, and in consideration thereof, the Company and any person or entity it may authorize, will be entitled, without further consent, to copyright, sell, or use in any manner, any picture of photograph or other likeness of me (including still, video, or motion picture), or recording of my voice. If a conditional offer of employment is made, I understand that I may be required to inform the Company if I have ever been convicted of or pled guilty or nolo contendere (no contest) to certain crimes (other than a minor traffic violation) within the past ten (10) years, excluding periods of incarceration. (Note: a DUI is not considered a minor traffic violation.) Employment is subject to the satisfactory completion of a reference check and a background check. If hired, I agree to conform to all present and subsequently issued policies, rules, procedures and regulations of the company. Applicants that receive a conditional job offer may be subject to mandatory drug testing. I certify that all statements given on this application are correct and complete and realize that falsification or misrepresentation, including omission, on this or any other personnel record, or in the hiring process, may be grounds for refusal of employment, or if hired, may lead to disciplinary action, up to and including termination. | *** I have read and agree to this disclaimer.
Applicant Signature
Date
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