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Are you 21-years-old or older? (required) This field is required

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If hired, can you provide proof of citizenship or legal right to work? (required) This field is required

Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. All offers of employment are subject to verification of the applicant's identity and employment authorization and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.

Are you able to perform the essential functions of the position for which you have applied with or without reasonable accommodations? (required) This field is required

Please explain what affects your ability to perform (required) This field is required

If hired, can you provide a valid Social Security Number? (required) This field is required

Have you ever been convicted of a felony or misdemeanor? (required) This field is required

A conviction record will not necessarily be a bar to employment, and factors such as age and time of the offense, seriousness and nature of the violations, and rehabilitation will be taken into account.

Please explain what have you been convicted of (required) This field is required

Have you worked for Court Avenue Brewing Company, Americana, Iowa Craft Beer Tent or Ricochet? (required) This field is required

Position (required) This field is required

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Education Record

Name of school (optional)

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Major field of study 2 (optional)

Degree or years completed 2 (optional)

Name of school 3 (optional)

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EMPLOYMENT RECORD

(last three employers, starting with most recent)

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Address of employer (latest employment) (required) This field is required

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Date started - Date left (latest employment) (required) This field is required

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Name of employer (second-last employment) (optional)

Address of employer (second-last employment) (required) This field is required

Job title (second-last employment) (required) This field is required

Duties and salary (second-last employment) (optional)

Date started - Date left (second-last employment) (required) This field is required

Supervisor (second-last employment) (optional)

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Reason for leaving (second-last employment) (required) This field is required

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Date started - Date left (third-last employment) (required) This field is required

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REFERENCES RECORD

(list names of three references, excluding relatives, who are familiar with your work)

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Organization (first referee) (required) This field is required

Relationship (first referee) (required) This field is required

Years known (first referee) (required) This field is required

Title (first referee) (required) This field is required

Phone number (first referee) (required) This field is required

Name (second referee) (optional)

Address (second referee) (optional)

Organization (second referee) (required) This field is required

Relationship (second referee) (required) This field is required

Years known (second referee) (required) This field is required

Title (second referee) (required) This field is required

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Name (third referee) (optional)

Address (third referee) (optional)

Organization (third referee) (required) This field is required

Relationship (third referee) (required) This field is required

Years known (third referee) (required) This field is required

Title (third referee) (required) This field is required

Phone number (third referee) (required) This field is required

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If you'd like to submit a resume or photo identification, please send by email to lizr@gilroyskitchen.com.

Please make sure that you have filled out this employment application completely – failure to do so may indefinitely delay your consideration for employment. We will contact applicants in whom we have an interest so be sure you accurately list names, telephone numbers and addresses. Gilroy’s Kitchen + Pub + Patio retains applications for 90 days from the time of receipt. If a representative of the company has not contacted you in 90 days, you must reapply for an open job vacancy in order to be considered for employment.
If reasonable accommodation is needed for interviewing or testing, please notify the company in writing in advance of any scheduled appointment.

PRE-EMPLOYMENT STATEMENTS

I understand and voluntarily agree that:

I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and complete to the best of my knowledge. I certify that I have personally completed this application. I understand that any misrepresentation or omission of material fact in this application or document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I understand that any offer of employment I may receive from Gilroy’s Kitchen + Pub + Patio is contingent upon my successful completion of the Company’s total pre-employment screening process, including the Company’s receiving references that it considers satisfactory.
I understand that nothing contained in this application or conveyed during any interview that may be granted is intended to create an employment contract between Gilroy’s Kitchen + Pub + Patio and me. I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice or cause, at the option of myself or Gilroy’s Kitchen + Pub + Patio, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by the President or Managing Partner of Gilroy’s Kitchen + Pub + Patio.
I authorize and request Gilroy’s Kitchen + Pub + Patio to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize my former employers and those individuals I have listed as references to disclose to Gilroy’s Kitchen + Pub + Patio any and all letters, reports and other information related to my work record, including a statement of the reason for the termination of my employment, work performance, abilities and other qualities pertinent to my qualifications for employment without giving me prior notice of such disclosure. In addition, I hereby release Gilroy’s Kitchen + Pub + Patio, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.