Employee Application
Download Application in .PDF Format

I understand that if any portion of this application is left blank it may and will be discarded before being reviewed.

In compliance with Federal and State equal employment opportunity laws, it is this company's intention to consider all applicants without regard to race, color, religion, sex, national origin, age, marital status, disability, the presence of non-job related medical conditions or any other protected classification.



Your First Name:          Your Last Name:   

Address:      

City:          State:       Zip:   

Email Address:          Phone #:   

Application for position as:       Are you authorized to work in the United States? Yes No

If you are under the age of 22 and applying for a position that requires you to serve alcohol, please state your date of birth:   

Date Available to Start:          Pay Expected:          Are You Available to Work Full Time? Yes No

How many hours do you expect to work a week? Minimum:       Maximum:   

Indicate the shifts you are available to work By marking a check in the boxes below:
Lunch Shift on: Monday    Tuesday    Wednesday    Thursday    Friday    Saturday    Sunday   
Dinner Shift on: Monday    Tuesday    Wednesday    Thursday    Friday    Saturday    Sunday


High school attended:       Did you graduate? Yes No

College attended       Did you graduate? Yes No

Numbers of years completed       Major / Minor   

Please list any special abilities or knowledge which you have that are related to the job for which you are applying.
(Please do not list those items which are related to race, sex, religion, color, national origin, age, marital status, disability or non-job
related medical conditions):


In addition to work experience described in this application, what other experiences, skills or abilities do you have that should
be considered in evaluating your qualifications for this job?



EMPLOYMENT EXPERIENCE (start with the most recent)

Name of company      Dates of employment

Name of Supervisor      Phone #:

Job Title      Reason for leaving


Name of company      Dates of employment

Name of Supervisor      Phone #:

Job Title      Reason for leaving


Name of company      Dates of employment

Name of Supervisor      Phone #:

Job Title      Reason for leaving



REFERRAL SOURCE:
Advertisement Employee Relative Relative Walk-in Government Employment Agency
Other

Do you have a relative working for The Crossing Grill & Bar? If so, where and what is his / her position?



REFERENCES
Name      Phone #:      Years Known:

Name      Phone #:      Years Known:

Will you abide by the safety rules of this company? Yes      No

Have you ever been convicted of a felony, pled guilty to a felony, or been placed on probation for a felony offense? Yes      No
If Yes:
Date of Conviction/Please/Probation:

Nature of Conviction


Where

Disposition


PLEASE READ THE FOLLOWING CAREFULLY

I declare that I am qualified to perform all the duties of the position I am seeking. I also declare that the information I have provided on this application is correct and that any false statements or omissions will justify my rejection or dismissal. I authorize the company to contact any of my previous employers as well as any reference source to verify the facts and information I have furnished regarding information provided on this application, on my resume, or during my interview. I authorize any person(s) having knowledge to provide such information to the company, and release from liability and agree to hold harmless any person that furnishes such information in good faith, as allowed by applicable state and federal laws. I will agree to a drug test, if permitted by law, to be paid for by the company. Should I become involved in a claim for worker's compensation or any other litigation after employment by the company, I will allow the company to supply my employment records (as allowed by applicable state and federal laws to an opposing party. If employed by the company, I understand that I will be an employee at will and that my employment with Haile Incorporated or any of its subsidiaries or affiliates (collectively, "Haile"), may be terminated at anytime by myself or Haile Incorporated for any reason whatsoever. Should I become employed by Haile Incorporated, I also authorize Haile Incorporated to conduct any additional background checks should they become necessary at any point during my employment. I also understand that the terms of my employment shall be based on all provisions described in the Haile Incorporated Handbook, which may be periodically amended. I further understand that if employed by Haile Incorporated no representative of Haile Incorporated, other than the President, has any authority to modify or change my status as an employee at will and that such modifications must be in writing signed by the President. Finally, I understand that this is only an application for employment an neither an offer of or a contract of employment and no part of this application shall be construed as an offer of employment or an employment contract. The Agreement to Arbitrate accompanying this application must be read and signed in order for you to be considered for employment with Haile Incorporated or any of its related companies (Haile). By signing the Agreement to Arbitrate I understand that the employment at will relationship will not be altered.

I agree to the and understand the above paragraph.