Form 1920 - Burger King Restaurant Crew Member Application For Employment Page 2

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UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVII:'UAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR
TEST.
AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.
.
INDEPENDENTLY OWNED AND OPERATED FRANCHISED BURGER KING® RESTAURANT
IN COMPLETING THIS APPLICATION, I UNDERSTAND THAT IT IS VERY .IMPORTANT THAT I BE COMPLETELY TRUTHFUL. I REALIZE THAT THE INDEPENDENT FRANCHISEE IS RELYING ON MY TRUTHFULNESS. I AGREE THAT IF IT
SHOULD BE DISCOVERED THAT THE INFORMATION I AM PROVIDING IS INACCURATE, MISLEADING, OR INCOMPLETE IN ANY RESPECT, I WILL BE DISQUALIFIED FOR EMPLOYMENT OR, IF I HAVE ALREADY BEEN HIRED,
MY
EMPLOYMENT WILL BE TERMINATED IMMEDIATELY.
i
UNDERSTAND AND AGREE THAT IF I SHOULD BECOME EMPLOYED BY THE INDEPENDENT FRANCHISEE, I WiLL HAVE THE RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME FOR ANY
REASON.
I FURTHER AGREE THAT
THE INDEPENDENT FRANCHISEE SHALL HAVE THE SAME RIGHT TO TERMINATE MY EMPLOYMENT. MY EMPLOYMENT AT-WILL STATUS CANNOT BE MODIFIED UNLESS SUCH MODIFICATION IS SET FORTH IN WRITING IN A
DOCUMENT SIGNED BY BOTH ME AND AN OFFICER OF THE INDEPENDENT FRANCHISEE. EMPLOYEE
HANDBOOKS,
MANUALS, PERSONNEL POLICIES AND PROCEDURES OF THE INDEPENDENT FRANCHISEE ARE NOT
EMPLOYMENT CONTRACTS AND DO NOT MODIFY MY STATUS AS AN AT-WILL EMPLOYEE.
I HAVE READ AND UNDERSTAND THE FOREGOING. I AM SEEKING EMPLOYMENT WITH THE INDEPENDENT FRANCHISEE UNDER THE TERMS SET FORTH
HEREIN.
I CERTIFY AND DECLARE THAT ALL THE INFORMATION I
HAVE PROVIDED IS TRUE AND CORRECT.
IF APPLICABLE TO MY EMPLOYMENT; I HAVE READ AND UNDERSTOOD THE NOTICE REGARDING POLYGRAPH TESTS AND MY RIGHTS UNDER MARYLAND LAW.
I UNDERSTAND AND AGREE THAT I AM SEEKING EMPLOYMENT WITH THE INDEPENDENT FRANCHISEE (NOT BURGER KING CORPORATION) AND THAT THE INDEPENDENT FRANCHISEE IS THE SOLE EMPLOYER OF THE
EMPLOYEES AT THIS RESTAURANT.
.
.
1 AUTHORIZE AN INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I AUTHORIZE THE REFERENCES LISTED ON THIS APPLICATION TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY
PREVIOUS EMPLOYMENT AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SUCH TO
YOU.
APPLICANT'S SIGNATURE
-------------------------------~-----'---
DATE
THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR 30 DAYS, FOR CONSIDERATION AFTER 30 DAYS YOU MUST REAPPLY.

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