Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Are you legally eligible to work in the United States? *

(Proof of eligibility will be required upon offer of employment.)

YES

NO

Are you over the age of 18 years? *

(if no, you may be required to provide work authorization as required by state and federal law.)

YES

NO

Are you available to work on weekends? *

YES

NO

Are you looking for full time or part time employment? *

Full Time

Part Time

On what date would you be available to start work? *

MM

DD

YYYY

If applying for a seasonal or summer position, what would be your last day of employment? *

MM

DD

YYYY

Employer 1 Phone Number

(###)

###

####

Employer 2 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employer 2 Phone Number

(###)

###

####

Employer 3 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employer 3 Phone Number

(###)

###

####

APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION *

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery. I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by the Sun’n Surf Restaurant (hereinafter referred to as "Sun’n Surf") that such employment with Sun’n Surf Restaurant is at will, for no specified duration and may be terminated by either Sun’n Surf Restaurant or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of Sun’n Surf Restaurant or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of Sun’n Surf Restaurant except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of Sun’n Surf Restaurant. In consideration for employment with Sun’n Surf Restaurant, if employed, I agree to conform to the rules, regulations, policies and procedures of Sun’n Surf Restaurant at all times and understand that such is a condition of employment. I understand that due to the nature of the business, attendance and punctuality are considered essential requirements of every job at Sun’n Surf Restaurant and that poor attendance or tardiness will result in disciplinary action. I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Sun’n Surf Restaurant and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information. I understand that this application is considered current for six months. If I wish to be considered for employment after this period I must fill out and submit a new application. BY SELECTING "YES," BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

YES

NO