Rainbow Grille & Tavern

*First Name

*Last Name

*Address

*City

*State

*Zip Code

*Phone

Referred By

*Position Desired

*Date You Can Start

*Salary/Wage Desired

*Are You Employed? Yes No

Can we inquire your present employer? Yes No

High School Name

H.S. Location

Years Attended H.S.

Did you graduate H.S.? Yes No

College Name

Years Attended College

Did you graduate College? Yes No

Subjects Studied

Trade School

Subjects of special study, work or training

Employer #1: Most Recent. Dates of employment, name, address, salary, position and reason for leaving.

Employer #2

Employer #3

Employer #4

Reference #1: Name, Address, Business, Years Known

Reference #2

Reference #3

Attach Resume

*Date

*Email

*Authorization Yes
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

*Enter Security Code

*Required