Quality Dining, Inc. & Its Subsidiaries Application For Employment

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Quality Dining, Inc. & Its Subsidiaries
APPLICATION FOR EMPLOYMENT
®
®
All applicants will be considered without regard to race, color, religion, sex/gender, sexual orientation, genetic information, marital status,
pregnancy, citizenship status, national origin, age, disability, veteran status, or any other status protected by federal, state or local law.
The Company complies with its legal obligation to provide reasonable accommodations to qualified individuals with disabilities.
In order to be considered for employment, this application must be filled out completely.
Please write "N/A" if requested information is not applicable.
First Name
Middle Initial
Last Name
Today's Date
Current Street Address
City
State
ZIP
Day Phone No.
Evening Phone No.
Alternate Phone No.
Are you? 14-15
16-17 18 or older
How were you referred?
(If under 18, proof of age must be provided prior to hire.)
Is your citizenship or immigration status such that you can lawfully work in the U.S.?
Yes No
(If hired, continued employment will be dependent upon proof of citizenship or presentation of documents which authorize you to work in the U.S.)
Have you ever worked for Quality Dining, Inc. or one of its subsidiaries?
Yes No
Chili's Papa Vino's Spageddies Burger King Grady's American Grill Porterhouse Blue
0 Corporate
2
If yes: Location:
Dates:
Circumstances for leaving:
Are any of your relatives currently employed by Quality Dining, Inc. or one of its subsidiaries?
Yes No
If yes: Name(s) and Relationship(s):
Yes No
Full Service Concepts Only: Are you legally able to serve alcohol in this state?
Have you ever been convicted of a criminal offense (including a felony or misdemeanor)?
Yes No
Answering this question affirmatively will not automatically disqualify you from being hired. If yes, state offense convicted of, court
convicted in, date of conviction and disposition of case (i.e. conviction, no contest etc.)_______________________________________________________________
In the table below, please indicate your availability for work.
MON
TUES
WED
THURS
FRI
SAT
SUN
Earliest Time In
Latest Time Out
Desired Position
Desired Wage
Desired Status
Date Available to Start
Full-Time Part-Time (________hours/week)
Yes No
Do you have reliable transportation to and from work?
Are you willing to travel?
Yes No
If yes, to what extent:
Are you willing to relocate?
Yes No
If yes, please list location preferences or restrictions:
Graduated
Name & Location
Degree/Major
GPA
(Yes/No)
High School
College/Other
College/Other
List professional licenses, scholarships, academic awards and elected offices held in extracurricular school or professional activities.
(Response to this inquiry is completely voluntary.)

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