Application
Roots Eatery and Pub LLC is an equal opportunity employer. We do not discriminate on the bases of
race, color, gender, national origin, age, religion, disability, veteran’s status, or sexual orientation.
Email address *
Please fill out this application as completely as possible. If you have all the information ready, it should take 15-20 minutes.
What position(s) are you interested in? *
Required
What is your full name? *
Your answer
What is your cell phone number? *
Your answer
What is your birth date? *
MM
/
DD
/
YYYY
What is your current address of residence? *
Your answer
Please check all the time frames you are available to work.
Tuesday
Wednesday
Thursday
Friday
Saturday
10:00 am to 4:00 pm
4:00 pm to 11:00 pm
Preferred number of hours to work per week *
When are you available to start? Please explain any timing constraints you have. *
Your answer
List high school education, including name of institution, whether a diploma was received, and years of attendance. *
Example: Excellence High School, diploma received, 2003-2007
Your answer
List all higher education you've completed, including name of institution, degree received, and years of attendance.
Example: Purdue University, BA, Basket Weaving, 1995-1999
Your answer
List all relevant employment held in the last 10 years, including business name, job title, supervisor name, time frame, and a short description of duties.
Please ensure that you include all the desired information.
Employment 1 *
Your answer
Employment 2 *
Your answer
Employment 3
Your answer
Employment 4
Your answer
Any additional employment
Your answer
Please provide any additional information on skills or training that are relevant to the job you're applying for. This could include special training, certifications, special achievements, or other valuable skills not reflected in work experience. *
Your answer
List at least two references (No family or close friends please). Include full name, job title, relationship, email address, and phone number.
Reference 1 *
Your answer
Reference 2 *
Your answer
Are you legally eligible for work in the US? *
Are you willing to undergo a background check? *
Can you commit to abstaining from use of illegal drugs while employed? *
Any other questions, comments, or information you'd like to give us?
Your answer
I certify that all entries on this job application and any attachments are true and complete. I also agree and understand that any falsification of this information may result in my forfeiture of employment. I understand that all information on this job application is subject to verification and I consent to criminal history and background checks. I also agree that you may contact employers, references, and education institutions listed on this application to verify information. *
If you agree to these statements, please type your name below. In doing so, you also agree that your typed name can be used as your signature.
Your answer
A copy of your responses will be emailed to the address you provided.
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