Employment - Madison Restaurant Group

WE ARE AN EQUAL OPPORTUNITY EMPLOYER
(Please answer all questions)
NOTICE: Applicant should read the following information carefully before filling out any of the questions on this form. We are an equal opportunity employer and fully subscribe to the principles of equal opportunity. It is our policy to seek and employ the best qualified personnel in all positions without regard to race, color, religion, age, sex, disability, national origin or any other basis made unlawful by either state or federal law. It is our policy to comply with all federal and state employment statues. Information requested on this application will not be used for any purpose prohibited by law.
Position you are applying for*
- Bartender
- Bookkeeper
- Busser
- Chef (Executive)
- Chef (Sous)
- Chef (Pastry)
- Cook (Line)
- Cook (Prep)
- Dishwasher
- Host or Hostess
- Manager
- Supervisor
- Wait Staff
- Corporate – Event Sales & Management
- Corporate – Marketing
Restaurant(s) Applied For*
- Handsome Hog
- PUBLIC kitchen + bar / Green Lantern
- Fitzgerald's
- Eagle Street Grille
- Ox Cart Ale House & Rooftop
- Gray Duck Tavern
- MRG – Corporate Office
Restaurant(s) Applied For*
- Handsome Hog
- PUBLIC kitchen + bar / Green Lantern
- Fitzgerald's
- Eagle Street Grille
- Ox Cart Ale House & Rooftop
- Gray Duck Tavern
- MRG – Corporate Office
Position Applied For (if not listed above)
Name*
First Last
Middle Name
Present Address*
Street Address City State ZIP Code
Phone*
Email*
How long have you lived at the above address?*

Education
High School Name
High School Address
Street Address City State ZIP Code
High School Grade or Degree Completed
High School Graduate
- Yes
- No
College or University Name
College or University Address
Street Address City State ZIP Code
College or University Grade or Degree Completed
College or University Graduate
- Yes
- No
Other School Name
Other School Address
Street Address City State ZIP Code
Other School Grade or Degree Completed
Other School Graduate
- Yes
- No

Military Service Schools Attended
Military Service School Address
Street Address City State ZIP Code
Military Service School Grade or Degree Completed
Military Service School Graduate
- Yes
- No
Military Service Record
War Veteran
- Yes
- No
Branch
From: (Date)
To: (Date)
Highest Grade

Previous Restaurant Experience
(LIST BELOW YOUR LAST FOUR EMPLOYERS, STARTING WITH MOST RECENT ONE FIRST)
1) Company Name
Address
Street Address City State ZIP Code
Phone
Company Business
Your Position
Immediate Supervisor
Title
Date Started
Date Left
Yearly Salary Start
Yearly Salary Left
Reason for Leaving
Job Duties
2) Company Name
Address
Street Address City State ZIP Code
Phone
Company Business
Your Position
Immediate Supervisor
Title
Date Started
Date Left
Yearly Salary Start
Yearly Salary Left
Reason for Leaving
Job Duties

3) Company Name
Address
Street Address City State ZIP Code
Phone
Company Business
Your Position
Immediate Supervisor
Title
Date Started
Date Started
Yearly Salary Left
Yearly Salary Left
Reason for Leaving
Job Duties
4) Company Name
Address
Street Address City State ZIP Code
Phone
Company Business
Your Position
Immediate Supervisor
Title
Date Started
Date Left
Yearly Salary Start
Yearly Salary Left
Reason for Leaving
Job Duties

Are there any job duties that you would be unable to perform?
Is there anything we could do to accomodate you so you could perform all the required job duties?
Have you ever applied to this company before?*
- Yes
- No
If yes, where?*
When?*
Are you now employed?*
- Yes
- No
Telephone Number*
IN CASE OF EMERGENCY NOTIFY
Name*
Address*
Street Address City State ZIP Code
Phone*
Relationship*
Terms and Conditions*
- 1. I authorize investigation of all statements contained in this application. 2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the forgoing inqueries.
  3. I have read these statements and answers to these inquiries.
Upload Resume
Date
I agree that this acts as my signature.*
- Yes

Step 1 of 8

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Education

Military Service Record

Previous Restaurant Experience

IN CASE OF EMERGENCY NOTIFY