Apply Restaurant

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?*
- Yes
- No
If under 18 please list DOB:
Are you able to lift up to 50 pounds?*
- Yes
- No
Are you presently authorized to work in the U.S.?*
- Yes
- No

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 Signature
By 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

Position