MARGARITAS RESTAURANT

3535 US HIGHWAY 17 SUITE 8, FLEMING ISLAND FL 32003
904-375-9395
EMPLOYMENT APPLICATION


PERSONAL


GENERAL


EDUCATION


REFERNCES (LIST PROFESSIONAL WHOM WE MAY CONTACT)
NAME ADDRESS BUSINESS PHONE

FORMER EMPLOYERS (LIST BELOW LAST THREE EMPLOYERS, STARTING WITH THE MOST RECENT)



"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 DISSMISAL. I AUTHORIZE INVESTIGATION OF ALL STATMENTS CONTAINED HEREIN IN THE
REFRENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PRETINTENT INFORMATION
THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTLIZATION OF SUCH
INFORMATION. I ALSO UNDERSTAND AND AGREE THAT NO REPRESENATAIVE 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 FOREGOIN, UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY
REPRENSENTATIVE. THIS WAIVER DOES NOT PERMIT THE RELEASE OR USE OF DISSABILITY-RELATED OR MEDICAL INFORMATION IN A MANNER PROHIBITED BY THE
AMERICANS WITH DISSABILITIES ACT (ADA) AND OTHER RELEVANT FEDERAL AND STATE LAWS."