Careers – BRG Concepts

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Thank you for your interest in a position at one of our restaurants.

Please fill out the form below and it will be reviewed by our Management Team.

Name

Phone Number

Restaurant of Interest

Current Address

Start Date

Position Applying For

Are you willing to work overtime?

Yes No

If you are a minor, can you provide work authorization?

Yes No

Are you able, at the time of employment, to submit verification of your legal right to work in the U.S?

Yes No

Have you ever been convicted of a felony which is substantially related to the functions or qualifications of the position (s) for which you are applying? Note: This question does not apply to convictions which have been expunged, sealed, pardoned or otherwise exonerated or eradicated. (A conviction record will not necessarily be a bar to employment.)

Yes No

If yes, please describe fully the criminal conviction(s), listing the nature of the offense(s) and your rehabilitation since the conviction(s).

Specialized skills (e.g. computer, language, equipment operations etc.).

WORK EXPERIENCE
Please list below your last four employers, starting with you present or last place of employment. You may include any verifiable work performed on a volunteer basis, internship or military service.

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REFERENCES
Please give the names of two additional work-related references that we may call. Please do not list relatives. Individuals with no prior work experience may list school or volunteer-related references.

APPLICANT CERTIFICATION–PLEASE READ CAREFULLY
I understand that this application is not a contract, offer promise of employment. I acknowledge that employment with the company is on an employment at will basis. This means that my employment with the company can be terminated at any time, with or without cause or advance notice and acceptance or employment is not a contract of employment for any specified time. Similarly I am free to terminate my employment with the company at any time for any reason. This at-will provision may be modified or waived only in a written agreement signed by the company’s president and me. I further understand that I am responsible for being familiar with the Company’s policies, rules and regulations, and I understand that the Company has complete discretion to modify its policies, rules, regulations and practices at any time, to the extent permitted by federal, state and local law, except that it will not modify its policy of employment at will. By my continued employment with the Company, I consent to any such changes. I certify that the above information is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation or omission of information on this form or relating to my application of employment may result in my denial of employment, or if employed, my immediate dismissal. I hereby authorized the company or its agents to confirm all statements contained in this application and /or resume to the extent permitted by federal, state or local law and I agree to complete any requisite authorization forms. * I release all parties from any liability arising out of this provision and the use of such information.

Agree

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