Montego Bay Wendover
Please answer all questions. Questions marked with an * require answers.
*If hired can you show proof of age?
*Have you even been convicted of a crime, other than traffic violations?
*If yes explain
I wish to apply for:
*What rate of pay would you accept?
*I am available for the following shifts:
*I can start work on the following date:
*I am available for the following days:
*Have you ever worked for Peppermill/Rainbow/Montego Bay before?
*If yes give dates
*Do you have a valid drivers license?
I was referred to Peppermill/Rainbow/Montego Bay by
*Can you perform the essential functions of the job you are applying for, with or without reasonable
*Person to contact in case of an emergency:
Names of persons willing to provide professional and/or character reference for applicant:
Name of School
Location (City & State)
Beginning with your present and/or last position, list periods of employment(including U.S. Military Service.)
Please identify and explain periods of unemployment.
Dates of Employment
Reason for leaving
I hereby certify that the information contained in this application form is true and correct to the best of
knowledge and agree to have
any of the statements checked by the company unless I have indicated to the contrary. I authorize the
listed above to provide
the company any and all information concerning my previous employment and any pertinent information that
may have. Further, I
release all parties and persons from any and all liability for any damages that may result from furnishing
information to the company
as well as from the use or disclosure of such information by the company or any of its agents, employees or
representatives. I understand
that any misrepresentation, falsification, or material omission of information on this application may
my failure to receive an offer
or, if I am hired, in my dismissal from employment.
In consideration of my employment, I agree to conform to the rules and standards of the company and agree
my employment and
compensation can be terminated at will, with or without cause, and with or without notice, at any time,
at my option or at the option
of the company. I understand that no employee or representative of the company other than the president of
company has any
authority to enter into any agreement for employment for any specified period of time, or to make any
contrary to the
foregoing. Further, the president of the company may not alter the at-will nature of the employment
unless he does so
specifically and in writing. I also understand that all offers of employment are conditioned on the
satisfactory proof of an
applicant's identity and legal authority to work in the U.S.
My signature below certifies that I have read and understood the terms of this form. My typed name will
serve as my signature for this electronic form.
*Date of Application