An Equal Opportunity Employer - Application For Employment Form Page 2

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VOLUNTEER & MILITARY EXPERIENCE
Volunteer Experience: (Exclude activities relating to race, religion, color, ancestry, age, national origin, gender or disability.) _______________________________________________
______________________________________________________________________________________________________________________________________________________________
Skills Acquired: ________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
U.S. Military Experience: (If applicable) ___________________________________________________________________________________________________________________________
Skills Acquired: ________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
BUSINESS EXPERIENCE
(List most recent three employers)
Area Code/Phone
Present Employer (or most recent)
From
To
Name of Immediate Supervisor
Title
Mo. Year
Mo. Year
Your Position
Street Address
Salary
City
State
Zip Code
Reason For Leaving
Phone Number
Area Code/Phone
Previous Employer
From
To
Name of Immediate Supervisor
Title
Mo. Year
Mo. Year
Your Position
Street Address
Salary
City
State
Zip Code
Reason For Leaving
Phone Number
Area Code/Phone
Previous Employer
From
To
Name of Immediate Supervisor
Title
Mo. Year
Mo. Year
Your Position
Street Address
Salary
Reason For Leaving
City
State
Zip Code
Phone Number
I UNDERSTAND THAT TRATTORIA VILLAGIO, LLC HAS IN PLACE A DISPUTE RESOLUTION PROCEDURE, AND I FURTHER ACKNOWLEDGE AND AGREE
THAT IF I AM OFFERED AND ACCEPT EMPLOYMENT, ANY DISPUTE BETWEEN TRATTORIA VILLAGIO, LLC AND ME RELATING TO MY EMPLOYMENT AND/
OR MY SEPARATION FROM EMPLOYMENT, SHALL BE SUBMITTED WITHIN ONE (1) YEAR OF THE DAY WHICH I LEARNED OF THE EVENT AND SHALL BE
RESOLVED PURSUANT TO THE TERMS AND CONDITIONS OF THE DISPUTE RESOLUTION PROCEDURE.
NOTICE TO TIPPED EMPLOYEES: You are hereby notified that Section 3(m) of the Fair Labor Standards Act (The Federal Minimum Wage Law) provides as follows: In
determining the wage of a tipped employee, the amount paid such employee shall be at least an amount equal to the cash wage of $2.13 an hour and an additional
amount of the tips received by such employee which amount is equal to the difference between $2.13 an hour and the current minimum wage in effect. The
additional amount on account of tips may not exceed the value of the tips actually received by an employee. The preceding two sentences shall not apply with
respect to any tipped employee unless such employee has been informed by the employer of the provisions of the section and all tips received by such employee
have been retained by the employee, except that nothing herein shall prohibit the pooling of tips among employees who customarily and regularly receive tips. Some
states have eliminated the tip credit or require a lower percentage of the tip credit than the Federal Minimum Wage Law, in which case State Law will apply.
I AFFIRM THAT ALL INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE. ANY MISREPRESENTATION, FALSE STATEMENT, OR
OMISSION OFF ACTS CALLED FOR SHALL BE GROUNDS FOR REFUSAL OF EMPLOYMENT OR IF HIRED, DISMISSAL FROM EMPLOYMENT. I
UNDERSTAND THAT ANY VIOLATION OF COMPANY RULES, POLICIES, STANDARDS, AND/OR PROCEDURES SHALL BE GROUNDS FOR
DISMISSAL.
I AGREE TO CONFORM TO THE RULES, POLICIES, STANDARDS,
AND REGULATIONS OF TRATTORIA VILLAGIO, LLC.
I
UNDERSTAND THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT
NOTICE, AT ANY TIME AT THE OPTION OF TRATTORIA VILLAGIO, LLC OR MYSELF, AND I UNDERSTAND THAT NO REPRESENTATIVE OF THE
COMPANY HAS THE AUTHORITY TO MAKE ANY MODIFICATIONS, EITHER VERBALLY OR IN WRITTING TO THE CONTRARY.
IT IS THE POLICY OF TRATTORIA VILLAGIO, LLC TO HIRE ONLY U.S. CITIZENS AND ALIENS WHO ARE LAWFULLY AUTHORIZED TO WORK IN
THE UNITED STATES. ALL EMPLOYEES WILL BE ASKED TO VERIFY EMPLOYMENT ELIGIBILITY PRIOR TO BEGINNING WORK.
SIGNATURE OF APPLICANT
DATE
I UNDERSTAND THAT MY APPLICATION WILL REMAIN ACTIVE FOR 30 DAYS FROM THE DATE RECEIVED.

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