Job Application | Baseline Burger

Personal Information

We are an equal opportunity employer. All applicants are considered on their own merit. We will not discriminate against a job applicant who is able to perform the essential functions of the job with or without reasonable accommodation.

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code

Country

Phone Number *

Email Address *

Do you have the legal right to work and be employed in the U.S.? (Proof of identity and legal authority to work in the U.S. is a condition of employment.) *YesNo

Are you at least age 18? (Proof of age and work permits may be required prior to hiring) *YesNo

Do you have a reliable means of transportation to and from work? *YesNo

Are you able to perform the essential functions of the position for which you are applying, either with or without reasonable accommodations? *YesNo

Do you have any relatives or acquaintances employed by our company? *YesNo

If Yes please add name of relative

Position Applied For: *

Location Applied For: *

Date Available to Start?

Available to Work: *Full timePart time

Employment History

Present or Recent Employer

From

Position

Reason for Leaving

Supervisor Name

Employer Phone

Upload Resume (if applicable)

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Please read carefully each paragraph and enter name below:

I hereby certify that the information that I have given on this application is true and correct, to the best of my knowledge, and understand that any falsification or misrepresentation, including omission, of this or any other personnel records may result in not receiving an offer or, if I am hired, my immediate dismissal from Baseline Burger ("Company"). I voluntarily and knowingly authorize my present and past employers and supervisors to give information concerning me to the Company, whether or not it is on their records. I also authorize the Company to give information concerning me, whether or not it is on their records, to prospective employers in the future. Further, I release all parties and persons from any and all liabilities for any damages that may result from furnishing such information to the Company as well as from the use or disclosure of such information by the Company or any its agents, employees, or representatives.

In consideration of my employment, I agree to conform to the rules and standards of the Company. I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of the Company. I understand that no employee or representative of the Company, other than its Chief Executive Officer, has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. Further, the Chief Executive Officer of the Company may not alter the at-will nature of the employment relationship unless the Chief Executive Officer and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this constitutes an integrated agreement with respect to the at-will nature of my employment relationship, that it is final and fully binding, and that there are no oral, written, or collateral agreements regarding this issue.

I also understand that all offers of employment are conditioned on the Company's receipt of satisfactory responses to reference requests and the provision of satisfactory proof of an applicant's identity and legal authority to work in the United States. Offers of employment may be conditioned on the satisfactory completion of a post-offer medical examination.

I Have Read and I Agree to the Above *YesNo

Type Name *

Date