Employment Application Step 1 of 4 25% Personal InformationName(Required) First Last Phone(Required)Email(Required) Date of Birth(Required) MM slash DD slash YYYY Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employment PreferencesAvailable Start Date(Required)Let us know when you'll be available to start working with us. MM slash DD slash YYYY Locations applying for(Required) Crescent City Grill El Rayo Mahogany Bar Select AllPositions applying for(Required) Dishwasher Line Cook Server Host Select AllFull time or part time employment?(Required)Full TimePart TimePreferred Shift(Required)DayNightNo PreferenceAvailability(Required) Sunday Monday Tuesday Wednesday Thursday Friday Saturday Select AllDesired Hours per week(Required)Desired Hourly Rate(Required) More About YouIf hired, do you expect to work elsewhere?(Required)NoYesHow long have you lived at your current address?(Required) Do you know anyone who currently works at our company?(Required)NoYesWhat's their name?(Required) Do you have a reliable source of transportation?(Required)NoYesHave you ever been convicted of a felony?(Required)NoYesHow did you hear about our company?(Required) Besides income, what's the most important aspect of your job to you?(Required) Why do you want to join our team?(Required) EducationPlease choose the highest level of education you've completed(Required)K-8High SchoolJunior College4 year UniversityWhat high school did you attend?(Required) High School Location(Required)City, State What university did you attend?(Required) University Location(Required)City, State What was your field of study? Did you graduate?NoYesEmergency ContactName of Emergency Contact(Required) First Last Phone(Required)Relationship(Required) Previous EmploymentPast EmployersPlease list at least two previous employers. Place of Employment Start Date Final Date Use as a reference? Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Terms and ConditionsTerms and Conditions(Required) I agree to the terms and conditions.New South Restaurant Group is an equal opportunity employer. Federal and/or state law prohibits discrimination in employment because of race, color, creed, sex, age, disability, national origin, citizenship, veteran or marital status. I certify that all the information on this application is true, complete, and correct. I understand and agree that any falsification, misrepresentation, misleading statement, or omission of fact on either this application or during the pre-hire process will be sufficient for (1) my not being offered employment, or (2) dismissal at any time if I am employed. I authorize my former employers New South Restaurant Group to provide any information regarding my employment, and I release all parties from any liability for any damages which may result from furnishing such information. I have read and understand the above, and by my signature below, I accept the above terms and conditions for employment if I am offered a position.Signature(Required) Reset signature Signature locked. Reset to sign again NameThis field is for validation purposes and should be left unchanged.
