APPLICATION FOR EMPLOYMENT

Atlantic City Sub Shops and its affiliates are an equal opportunity employer and will not discriminate in any way relative to hiring, recruitment, training, promotion, job classification, transfer, placement, demotion, recall, lay-off and/or termination.

Which location are you interested in working at:

PERSONAL INFORMATION

First Name
Last Name
SS#
Address
City
State
Zip
Phone - Day
Phone - Night
Email - Ex. joe@aol.com
Referred by

Do you have restaurant experience: Yes No

EMPLOYMENT DESIRED

Position
Date Available
Salary Desired
Are you employed?	Yes No
May we contact current employer?	Yes No
Ever applied to this company before?	Yes No
Where?
When?

EDUCATION HISTORY

	Name/Location	Graduated?	Subjects
High School
College
Other

GENERAL INFORMATION

Special Skills/Training
Military Service

FORMER EMPLOYERS

Company
Address
City
State
Zip
Phone
Contact / Manager
Employment Dates	to
Salary
Position
Reason for leaving

Company
Address
City
State
Zip
Phone
Contact / Manager
Employment Dates	to
Salary
Position
Reason for leaving

Company
Address
City
State
Zip
Phone
Contact / Manager
Employment Dates	to
Salary
Position
Reason for leaving

REFERENCES

Name	Business	Years Known

AUTHORIZATION
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the froegoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by Americans with Disabilities Act (ADA) and other relevent federal and state laws."

Check this box for your digital signature - understanding and accepting the above "Authorization".