Careers | Jack’s Restaurant & Bar

List all special technical skills that you feel qualify you for the job for which you are applying (e.g., computer programming/language, software, equipment operation, special tools or machines, etc.) * Required
High School Education
School Name / Location
# of years completed
Graduation Year
College Education
School Name / Location
Course of Study
# of years completed
Graduation Year
Degree / Major
Business, Technical or Trade School
School Name / Location
Course of Study
# of years completed
Graduation Year
Degree / Major
Please list the names of your present or previous employers in chronological order with present or last employer listed first. Account for all periods of time including any period of unemployment. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for future consideration for employment.
Employer 1
Company Name * Required
Type of Business * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone * Required
Date started - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY
Date ended - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY
Job Title * Required
Job Duties * Required
Supervisor's Name * Required
May we contact this employer?
- Yes
- No
Reason for Leaving
Employer 2
Company Name
Type of Business
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Date started - must be mm/dd/yyyy format
MM slash DD slash YYYY
Date ended - must be mm/dd/yyyy format
MM slash DD slash YYYY
Job Title
Job Duties
Supervisor's Name
May we contact this employer?
- Yes
- No
Reason for Leaving
Employer 3
Company Name
Type of Business
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Date started - must be mm/dd/yyyy format
MM slash DD slash YYYY
Date ended - must be mm/dd/yyyy format
MM slash DD slash YYYY
Job Title
Job Duties
Supervisor's Name
May we contact this employer?
- Yes
- No
Reason for Leaving

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Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer related references.
Reference 1
Reference Name
Position
Company
Work Relationship (eg Supervisor, Co-worker)
Phone
Reference 2
Reference Name
Position
Company
Work Relationship (eg Supervisor, Co-worker)
Phone
Reference 3
Reference Name
Position
Company
Work Relationship (eg Supervisor, Co-worker)
Phone

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Specify which hours you’re available to work
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AM/PM AM/PM
Monday End

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Thursday Begin

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Thursday End

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Friday Begin

: Hours

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Friday End

: Hours

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Saturday Begin

: Hours

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Saturday End

: Hours

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AM/PM AM/PM
Sunday Begin

: Hours

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AM/PM AM/PM
Sunday End

: Hours

Minutes

AM/PM AM/PM

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Why don't we serve breakfast burritos on the weekend? * Required
Who is Jack's named after? * Required

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I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license and automobile liability insurance in an amount equal to the minimum required by the state where I reside. If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, non-compete, and/or conflict of interest statement. I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal. I authorize the Company or its agents to confirm all statements contained in this application and/or résumé as it relates to the position I am seeking and to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigations. I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information. I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATIVE IS INTENDED TO CREATE OR DOES CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT FOR A DEFINITE TERM. I ACKNOWLEDGE THAT IF HIRED BY THE COMPANY, EMPLOYMENT IS ON AN AT-WILL BASIS IN ACCORDANCE WITH STATE LAW. THIS MEANS THE COMPANY IS FREE TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE, IN ACCORDANCE WITH STATE LAW, AND ACCEPTANCE OF EMPLOYMENT IS NOT A CONTRACT OF EMPLOYMENT FOR ANY SPECIFIED TIME. SIMILARLY, I AM FREE TO TERMINATE MY EMPLOYMENT WITH THE COMPANY AT ANY TIME FOR ANY REASON. THIS AT-WILL PROVISION MAY BE MODIFIED OR WAIVED ONLY IN A WRITTEN AGREEMENT SIGNED BY AN AUTHORIZED REPRESENTATIVE OF THE COMPANY AND ME. I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL OR ITS ARBITRATION POLICY, IF ANY. THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE AND COMPLETE.
Applicant Signature * Required
Date Signed - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY
If the applicant is a minor, the foregoing release and consent must be signed by the applicant’s parent or legal guardian.
Parent / Legal Guardian
Date - must be mm/dd/yyyy format
MM slash DD slash YYYY
Witness
Date - must be mm/dd/yyyy format
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

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Step 1 of 6

High School Education

College Education

Business, Technical or Trade School

Employer 1

Employer 2

Employer 3

Reference 1

Reference 2

Reference 3

If the applicant is a minor, the foregoing release and consent must be signed by the applicant’s parent or legal guardian.