Madison Chop House Grille Job Application 
Dear Applicant:

Thank you for applying for a position at Madison Chop House Grille.  We ask that you carefully read and then sign the first page of our employment application before proceeding to subsequent pages.  We look forward to reviewing your qualifications.  

  • You must be honest, accurate, and complete when you fill in your application.  
  • You are responsible for everything you write on your application. 
  • You can be disqualified for employment or discharged after you start work if you write or list information on you application that is incorrect or is a mistake.  This rule applies to everything on your application. 
Criminal Conviction - You must check "yes" if you have been convicted of or pleaded guilty or no contest (nolo contendere) to a crime, whether a felony or misdemeanor. 

Employment - Write only the salaries and bonuses you actually received and the companies and dates you worked.  If you are not sure, you should write "not sure" or "estimate".

Education - do not list a diploma, certificate, or degree unless you have already received it.  For the question, "Did  you graduate"?, check "yes" only if you have already graduated and received your diploma. You may explain any special circumstances in a letter attached to your application. 
By typing your first and last name you agree and understand with the notice above.   *
First and last name
Email *
Address (street, city, state, and zip code) *
Phone number *
Are you a US citizen? *
Are you eighteen years of age?  If no please state your are for child labor purposes only.    *
Other than minor traffic violations, have you ever been convicted or or plead guilty or no contest whether a felony or misdemeanor (including military court) *
Have you ever served in the military? *
If you answered yes to the question above. Where did you serve in the military?
In your prior employment have you ever had shortages or misunderstandings about merchandise or funds? *
If you answered yes to the question above please explain
Have you ever been terminated from a job or asked to resign? *
If you answered yes to the question above please explain
Have you ever worked for Madison Chop House Grille?  *
If yes please provide dates of employment
Do you have relatives working for Madison Chop House Grille?  *
If yes please provide their name(s)
Which position(s) are you interested in? *
Days Available - click all that apply  *
Employment  History (begin with your current employer or most recent position - please include company, address, telephone number, dates of employment, duties, supervisor, reason for leaving, earnings (starting/ending) *
Education (please include name, address, GPA, dates attended, if you graduated, and major *
References *
If you have a resume please email it to *
Application Acknowledgement 
I certify that the answers given herein are true and complete to the best of my knowledge.  I understand that any misrepresentation, omission of facts, or incomplete answers are any employment document will disqualify me from further consideration for employment.  I further understand that if employed, any misrepresentations or omissions of facts in any application document will be cause for my dismissal at any time without notice.  

I understand that this application will be given every consideration, but its receipt does not imply that I will be employed.  

I understand that, if employed my employment with Madison Chop House Grille is not for a specific term and may be terminated by me or Madison Chop House Grille with or without notice or cause at any time.  I further understand that no oral promise, employer policy, custom, or business practice or other procedure (including the Employers Personnel Handbook or any personnel manual(s) constitute an employment contract modification of the at will employment relationship between me and Madison Chop House Grille.  

I authorize Madison Chop House Grille to investigate the truthfulness of all statements made on this application and to contact my former employers and other listed references or other persons who can verify the information I have supplied.  I give my consent for all contacted persons including my former employers, to provide information concerning this applicant and I release each contacted person from liability for providing the requested information.  I hereby waive all claims that I might have, against both Madison Chop House Grille and any third parties.  

I understand that any employment offer is contingent, if requested upon successfully completing a pre-employment drug test.  I understand certain positions may require a post offer medical examination by a designated physician and that any offer of employment is contingent upon my successfully completing this exam.  In signing this application, I agree to submit to the above mentioned tests, if requested and understand that a positive result will result in disqualification for employment and the revocation of any offer of employment which may have been made.  
Name and Date (by typing your first and last name and date your are acknowledging that this information is correct) *
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