Employment Application

First Name *

Middle Name

Last Name *

An Equal Opportunity Employer

Real Subs Café, LLC, and Real Subs Café II, LLC, are equal opportunity employers. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.

Please fill out all sections and hit submit.

Applicant Information

Street Address *

Apartment #

City *

State/Province *

ZIP / Postal Code *

Country

Phone Number *

Cell Phone

Email Address *

Availability

Are you applying for part-time or full-time work? (Check all that apply) *

Part-time workFull-time work

Can you work morning/opening shifts? *

YesNo

Can you work evening/closing shifts? *

YesNo

Can you work on the weekends? *

YesNo

Are you available to work overtime? *

YesNo

Please check the days you are available to work and write-in the times available for each day:

Sunday

Sunday Hours Available

Monday

Monday Hours Available

Tuesday

Tuesday Hours Available

Wednesday

Wednesday Hours Available

Thursday

Thursday Hours Available

Friday

Friday Hours Available

Saturday

Saturday Hours Available

Do you have any upcoming time-off planned? *

YesNo

Explain Planned Time-Off

If hired, on what date can you start working?

Employment History

Are you currently employed? *

YesNo

May we contact your current employer?

YesNo

Below, please describe past and present employment positions, dating back five (5) years. Please account for all periods of unemployment. Even if you have attached a resume, this section must be completed.

Attach Resume

No file chosen

Employer #1

Name of Employer #1

Name of Supervisor #1

Employer #1 Phone

Business #1 Type

Employment #1 Start Date

Employment #1 End Date

Position #1 Description

Reason For Leaving #1

May we contact employer #1 for references?

YesNo

Employer #2

Name of Employer #2

Name of Supervisor #2

Employer #2 Phone

Business #2 Type

Employment #2 Start Date

Employment #2 End Date

Position #2 Description

Reason For Leaving #2

May we contact employer #2 for references?

YesNo

Employer #3

Name of Employer #3

Name of Supervisor #3

Employer #3 Phone

Business #3 Type

Employment #3 Start Date

Employment #3 End Date

Position #3 Description

Reason For Leaving #3

May we contact employer #3 for references?

YesNo

References

List two people who have knowledge of your work performance within the last 3-years. Please include professional references only.

Reference #1

Name *

Reference #1 Phone

Reference #1 Occupation

Number of Years Acquainted with Reference #1

Reference #2

Name

Reference #2 Phone

Reference #2 Occupation

Number of Years Acquainted with Reference #2

Please Read and Initial Each Paragraph, then Sign Below

I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company. *

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice by the Company. *

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation. *

Personal Information

Have you ever applied to / worked for Company before? *

YesNo

Please Explain (Include Dates)

Do you have any friends or relatives working for Company? *

YesNo

State name & relationship:

Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) *

YesNo

If hired, are you able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? *

YesNo

If hired, will you submit to and pass a controlled substance test? *

YesNo

Have you ever been convicted of a criminal offense (felony or misdemeanor)? *

YesNo

Please describe the crime. State nature of the crime(s), when and where convicted and disposition of the case.

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

Education, Training and Experience

High School

School Name

City

State/Province

Number of Years Completed

Did you graduate?

YesNo

Degree/Diploma Earned

Date

College/University

School Name

City

State/Province

Number of Years Completed

Did you graduate?

YesNo

Degree/Diploma Earned

Date

Military

Branch

Rank

Total Years of Service

Start Date

End Date

Skills/duties

Did you receive an honorable discharge?

YesNo

Professional Certifications

Certification Name

Date

Certification Name

Date

Certification Name

Date

Certification Name

Date

Certification Name

Date

Other Relevant Training

List Any Other Relevant Training

Acknowledgement

I certify that the information contained on this form is true, correct and complete to the best of my knowledge. I also understand that any misrepresentation, falsification or omission of facts herein may be grounds for disqualification or separation.

Signature *

Date *