Name (Required)

Phone

Email (Required)

Are you 18 years of age or older? (Required)

Yes

Are you legally authorized to work in the United States? (Required)

Yes

Desired Compensation: (Required)

Available Start Date: (Required)

How did you hear about this opportunity? (Required)

If referred by a current employee, please give employee name:

Are you willing to relocate?

Yes

Are there contractual restrictions which would prevent your acceptance of employment with the Company? (Required)

Yes

Are you legally able to serve alcohol? (Required)

Yes

Are you able to work holidays? (Required)

Yes

Have you ever been employed by The Surf Restaurant Bar & Beach Motel or any of it's affiliated companies? (Required)

Yes

If yes, please explain:

Have you ever submitted an application to The Surf Restaurant Bar & Beach Motel or any of it's affiliated companies? (Required)

Yes

If yes, please explain:

Do you have any relatives or acquaintances employed by The Surf Restaurant Bar & Beach Motel? (Required)

Yes

If yes, please explain:

Current or Most Recent Employer | Are you currently employed? (Required)

Yes

Employer Name

City & State

Title

Start Date

End Date

Explanation

Rate of Pay

Direct Supervisor

Company Phone

OK to Contact?

Yes

Responsibilities and Duties:

Previous Employer | Employer Name

City & State

Title

Start Date

End Date

Explanation

Rate of Pay

Direct Supervisor

Company Phone

OK to Contact?

Yes

Responsibilities and Duties:

Institution Name(s)

Graduate?

Yes

Major(s)

Degree(s) or Certification(s):

List any professional licences:

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. (Required)

I have read and agree to this disclaimer.

Applicant Signature (Required)

Date (Required)

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