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HIGH PARK TAP HOUSE

23641 Via Linda, Mission Viejo, Ca. 949.458.7883

Employment Application APPLICANT INFORMATION Last Name

First

M.I.

Street Address

Apartment/Unit #

City

State

Cell Phone

Date

(

ZIP

Home Phone

)

Date Available

(

)

E-mail

Social Security No.

Position Applied for: Min. age 16 yrs. old Servers must be at least 18 Drivers must be at least 19 Bartenders must be at least 21

Server

Are you a citizen of the United States?

YES

Driver

Desired Wage/Salary

Bartender

Cashier

Kitchen

Other (Describe)

If no, are you authorized to work in the U.S.?

NO

YES

NO

If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?

YES

NO

Are you able to perform the essential functions of the job for which you are applying?

YES

NO

If no, described the functions that cannot be performed

EDUCATION High School

City, St.

From

To

Did you graduate?

College

YES

NO

Degree

City, St.

From

To

Did you graduate?

YES

NO

Degree

REFERENCES (PLEASE LIST TWO PERSONAL REFERENCES) Full Name

Relationship

Phone

(

)

-

Relationship

Phone

(

)

-

)

City/State Full Name City/State

PREVIOUS EMPLOYMENT (START WITH MOST RECENT) Contact Name

Supervisor

Company

Phone

(

$

Ending Salary

-

City/State Job Title

Starting Salary

$

Responsibilities From

To

Reason for leaving

1

May we contact your previous supervisor for a reference?

YES

NO


Contact Name

Supervisor

Company

Phone

(

$

Ending Salary

)

-

City/State Job Title

Starting Salary

$

Responsibilities From

To

May we contact your previous supervisor for a reference?

YES

NO

Reason for Leaving Have you ever been convicted of a felony?

YES

NO

If yes, explain

Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for, may however, be considered.

AVAILABILITY (PLEASE CHECK BOX) Mon

Tue

Wed

Thu

Fri

Sat

Sun

Day

Day

Day

Day

Day

Day

Day

Night

Night

Night

Night

Night

Night

Night

In emergency, please call

Relationship

Phone

(

)

-

PLEASE READ BELOW I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I hereby authorize High Park Tap House to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and further, authorized the references I have listed to disclose to High Park Tap House any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. I hereby release High Park Tap House, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I understand that nothing contained in the application, or conveyed during any interview which may be granted or during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and High Park Tap House. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with our without prior notice, at the option of either myself or High Park Tap House and that no promises or representations contrary to the foregoing are binding upon High Park Tap House unless made in writing and signed by me and High Park Tap House designated representative. DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Signature

Date

High Park Tap House is an equal opportunity employer. High Park Tap House does not discriminate in recruitment, hiring or terms or conditions of employment on the basis of race, religious creed, color, age, sex, gender identity, genetic information, sexual orientation, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. High Park Tap House also provides reasonable accommodations to disabled individuals to assist in the hiring process and to qualified individuals with disabilities in the performance of essential job functions, as required by federal, state or local law.

2


Food Handler Certification Thank you for completing an application with High Park Tap House. As of July 1, 2011 anyone handling food in the State of California will have to present a Food Handler’s Certificate. We ask that you complete this class before making your first interview appointment to meet with our hiring manager. Please print and bring a copy of your food handler’s certificate with you to your first interview or send to highparktaphouse@gmail.com and we will be glad to print it for you. You can take this class online with any California qualified and certified food safety company. California states that this class may not exceed $15 so carefully research the company you have chosen. This class may be done online or in a classroom setting. Premier Food Safety has offered a reduced price of $10 for High Park Tap House. The online training is 2 ½ hours long and fulfills California’s requirement for food handlers training and a certificate. With a passing score of 70%, this training and certification is valid for 3 years. This class is meant to reduce the occurrence of food borne incidents and the certification is yours to keep and take to any food establishment where you are employed. Premier Food Safety can be reached with any questions at 800-676-3121. The link for registration for the online class is: www.premierfoodsafety.com/highparktaphouse72114 ____________________________________________________________________________

Certificado de manejador de alimentos Gracias por llenar una solicitud con High Park Tap House. A partir de 1 de julio 2011 cualquier persona que manipule alimentos en el Estado de California tendrá que presentar un Certificado de comida. Le pedimos que complete esta clase antes de hacer su cita para la entrevista primero en cumplir con nuestro gerente de contratación. Por favor, imprimir y llevar consigo una copia del certificado de su manipulador de alimentos con usted a su primera entrevista o enviar a highparktaphouse@gmail.com y estaremos encantados de lo imprimiremos. Usted puede tomar esta clase en línea con cualquier compañía de alimentos de California de seguridad calificados y certificados. Los estados de California que esta clase no puede superar los $ 15 a fin de investigar cuidadosamente a la compañía que ha elegido. Esta clase se puede hacer en línea o en un salón de clases. Seguridad Alimentaria Premier ha ofrecido un precio reducido de $ 10 para High Park Tap House. La formación online es de 2 horas y media de largo y cumple con requisito de California para la formación de manipuladores de alimentos y un certificado. Con un puntaje de70%, esta capacitación y certificación tiene una validez de 3 años. Esta clase está destinado a reducir los incidentes de los incidentes transmitidas por los alimentos y la certificación es tuyo para siempre y llevar a cualquier establecimiento de comida en la que se emplean. Seguridad de Alimentos de Primera se puede llegar con cualquier pregunta al 800-676-3121. El enlace para el registro de la clase en línea es: www.premierfoodsafety.com/highparktaphouse 72114


Application and food hander cert