Step 1 of 5 20% Name* First Middle Last Phone Number*Email Address*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are you at least 18 years of age?*YesNoIf under 18 please list DOB:Are you able to lift up to 50 pounds?*YesNoAre you presently authorized to work in the U.S.?*YesNo PositionPosition(s) applying for (select all that you are interested in):?* Cook Bartender Waitstaff Dishwasher Hourly wage desired (hourly)*Available Start Date?* Provide days and hours available to work (be specific)Mondays:*YesNoTime Available Monday:Tuesdays:*YesNoTime Available Tuesday:Wednesdays:*YesNoTime Available Wednesday:Thursdays:*YesNoTime Available Thursday:Fridays:*YesNoTime Available Friday:Saturdays:*YesNoTime Available Saturday:Sundays:*YesNoTime Available Sunday: Education:Type of School*Name of School*Location*Number of Years Completed*Major or Degree*Add more education?YesNoType of SchoolName of SchoolLocationNumber of Years CompletedMajor or DegreeHave you ever been convicted of a felony?*YesNoIf yes, explain:* Employment HistoryStart with the most recent employerEMPLOYER (#1)Dates Employed (From/To)What was your position and some some of your responsibilities?If no longer employed there, please provide reason:May We Contact this employer?YesNoTelephone NumberEMPLOYER (#2)Dates Employed (From/To)What was your position and some of your responsibilities?If no longer employed there, please provide reason:May we contact this employer?YesNoTelephone NumberEMPLOYER (#3)Dates Employed (From/To)What was your position and some of your responsibilities?If no longer employed there, please provide reason:May we contact this employer?YesNoTelephone Number Who do you know that works throughout our Ebert Family of Businesses (Ebert Enterprises, Salmon’s Meat Products and Homestead Kitchen & Tap)?Why do you want to work at this restaurant?Digital SignatureBy signing this application, I declare that the information provided by me is complete and true to the best of my knowledge. I understand that any misrepresentation or omission on this application may preclude an offer of employment or may result in a withdrawal of an employment offer or may result in my discharge of employment if I am already employed at the time of misrepresentation or omission is discovered. I understand that nothing in this application or subsequent interview constitutes a contract of employment and that my employment with this company, if so hired, would be 'at will' and thus the company may, just as I may, terminate my employment at any time, with or without cause or notice. Name (Digital Signature)Date