APPLICATION FOR EMPLOYMENT

SOUTHERN RESTAURANT GROUP

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, national origin, disability or marital status, in the states of Florida and Alabama.

Today's Date *
Today's Date
Which Back Porch location are you applying for *
First
Middle
Last
Street
City
State/Zip Code
Street
City
State/Zip Code
Do you have a Social Security card?
Available Start Date
Available Start Date
If so, may we inquire of your present employer?
Are you at least 18 years of age or older?
Are you a U.S. Citizen or do you have permission to live and work in the United States?
Have you ever applied with or worked at any Southern Restaurant Group affiliated property?
HIGH SCHOOL - Name and location of school
Last year completed
Did you graduate?
COLLEGE - Name and location of school
Last year completed
Did you graduate?
List below your last four (4) employers, starting with your most current position first.
Started working there
Started working there
Stopped working there
Stopped working there
Started working there
Started working there
Stopped working there
Stopped working there
Started working there
Started working there
Stopped working there
Stopped working there
Started working there
Started working there
Stopped working there
Stopped working there
Give the names of three (3) persons not related to you, whom you have known for at least one (1) year
Have you ever been convicted of a crime? *
By hitting the submit button below, you are indicating that the information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in your dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. In order to provide SRG with information and opinions that may be useful in our hiring decisions, I hereby authorize any person, school, current or past employer, organization or entity disclosed in this application or during my interview to provide any information regarding me, including without limitation, the information concerning my performance, reputation and character. I acknowledge that the information divulged may be negative or positive with respect to me. Nevertheless, pursuant to this authorization, I unconditionally release such person, school, employer, organization or entity from any and all legal liability for furnishing such information and in making such statements. If SRG decides to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained, SRG must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report. EMPLOYMENT WITH SOUTHERN RESTAURANT GROUP IS "EMPLOYMENT AT-WILL", THEREFORE, EMPLOYMENT MAY BE TERMINATED AT WILL, WITHOUT RECOURSE, WITHOUT NOTICE AND WITHOUT CAUSE.