Job Application: Hourly Opportunities

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details (Información Personal):

First Name: *
Last Name: *
Middle Initial:
Application Date: *
Address: *
Apt #:
City: *
Zip Code: *
Social Security Number: *
Email Address: *
Primary Phone: *
Secondary Phone:
If offered employment, can you provide verification of your legal right to work in the United States? *

General Information (Información General):

Desired Position: *
Salary Desired: *
Date Available to Work: *
Are you at least 18 years old? *
How were you referred to us? *
Seeking: *
Have you ever been previously employed by Tustin Grille? *
Where you ever employed under a different name or social security number? *
If yes, what name and SS #:
Do you have any relatives employed by Tustin Grille? *
Do you have reliable transportation? *

Have you ever been convicted of a criminal offense – felony or serious misdemeanor (excluding convictions for marijuana-related offense that are more than 2 years old)? (Please note: A conviction will not necessarily disqualify you for employment) *

Availability (Disponabilidad):

Can you work weekends? *
Can you work overtime, if needed? *
Hours available per week: *

Available Hours:

MONDAY: *
TUESDAY: *
WEDNESDAY: *
THURSDAY: *
FRIDAY: *
SATURDAY: *
SUNDAY: *

Education (Educación):

High School: *	Name and State of school Did you graduate? (Yes or No) Certificate / Major / Degree
College / University:	Name and State of school Did you graduate? (Yes or No) Certificate / Major / Degree
Tech / Trade / Military:	Name and State of school Did you graduate? (Yes or No) Certificate / Major / Degree
Other:	Name and State of school Did you graduate? (Yes or No) Certificate / Major / Degree
Other related course or training related to position:

Skills and Abilities (Habilidades):

Do you have any computer skills? *
Computer skill level: *
What software (if any) are you familiar with? *	What software (if any) are you familiar with?
Other Skills, Abilities, Languages: *	Other Skills, Abilities, Languages:

Work Experience (Historial De Empleo):

Present or Most Recent Employer:
From:
To:
Job Title – Start:
Job Title – Present/Termination:
Address:
City:
State:
Zip Code:
Name of Supervisor:
Supervisor Title:
Supervisor Telephone:
Supervisor Department:
Starting Salary / Hourly Wage:
Ending Salary / Hourly Wage:
Reason for Leaving or Wanting to Leave:	Reason for Leaving or Wanting to Leave
Major Responsibilities:	Major Responsibilities

Please explain any gaps in employment:

Present or Most Recent Employer:
From:
To:
Job Title – Start:
Job Title – Present/Termination:
Address:
City:
State:
Zip Code:
Name of Supervisor:
Supervisor Title:
Supervisor Telephone:
Supervisor Department:
Starting Salary / Hourly Wage:
Ending Salary / Hourly Wage:
Reason for Leaving or Wanting to Leave:	Reason for Leaving or Wanting to Leave
Major Responsibilities:	Major Responsibilities

Please explain any gaps in employment:

Present or Most Recent Employer:
From:
To:
Job Title – Start:
Job Title – Present/Termination:
Address:
City:
State:
Zip Code:
Name of Supervisor:
Supervisor Title:
Supervisor Telephone:
Supervisor Department:
Starting Salary / Hourly Wage:
Ending Salary / Hourly Wage:
Reason for Leaving or Wanting to Leave:	Reason for Leaving or Wanting to Leave
Major Responsibilities:	Major Responsibilities


I declare under penalty of perjury under the laws of the State of California that the facts submitted by me on this application are true and complete to the best of my knowledge. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer of employment, or, if I have already been hired, my termination from employment at TUSTIN GRILLE. *

I understand that my application will not be considered complete until and unless I have agreed to provide the Company with permission to conduct an investigative report on me. I also understand that the Company will not conduct (or engage a third party to conduct) said investigative report until after the Company has provided me with, and I have accepted, any disclosures or approvals required by appropriate State or Federal law. *

I further authorize any prior employers or employment references listed on my application to provide any and all information concerning my employment and any other pertinent information to TOPH I, LLC. I release all parties and persons form any and all liability for any damages that may result from furnishing such information to TUSTIN GRILLE as well as from the use or disclosure of such information by TUSTIN GRILLE, its agents, employees or representatives. *

If the Company makes a conditional job offer to me, I give permission for a pre-employment test for alcohol, drugs, and controlled substances. I also give my consent for the release of the test results to appropriate management employees to the extent permitted by law. I understand that if I decline to give such consent, TUSTIN GRILLE may decide not to consider my application. *

I further understand that if the Company makes a conditional job offer to me, I give permission for a pre-employment physical examination as permitted by law. I understand that this examination is required of all applicants seeking a similar position as me with TUSTIN GRILLE. *

I agree that my employment will be “at-will”, and may be terminated with or without cause, and with or without notice, at any time at the option of myself or the company. I understand and acknowledge that this constitutes the entire agreement between me and the company regarding the term of my employment and supersedes any other oral or written agreement. *

In the event of employment, and in consideration thereof, the Company and any person or concern it may authorize will be entitled, without further consent, to copyright, sell, or use in any manner, any picture or photograph of me (including still, video, or motion picture), or recording of my voice. *


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Electronic Signature: *
Date *

Job Application: Hourly Opportunities

Personal Details (Información Personal):

General Information (Información General):

Availability (Disponabilidad):

Available Hours:

Education (Educación):

Skills and Abilities (Habilidades):

Work Experience (Historial De Empleo):

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