Tucanos Brazilian Grill Application for Employment

In compliance with Federal and State equal employment opportunity laws applicants are considered for positions without discrimination on the basis of race, religion, sex, national origin, citizenship, age, disability, or any other consideration made unlawful by applicable federal, state, or local laws.

In order to be considered for employment, this application must be filled out COMPLETELY. Please write “N/A” if information is not applicable. Resumes, though welcome, should not be submitted in place of the information requested below.

Which Tucanos Location?

First Name: Middle Initial: Last Name:

Social Security Number:

Phone Number: Cell Phone Number: Email Address:

Current Address Street/P.O. Box: Apt/Building: City:

State: Zip:

Position Applying for: Date Available for Employment:

Please Answer The Following 1. If hired, can you present evidence of your US Citizenship or proof of your legal right to work in the United States? Yes No
2. If hired, can you submit proof of legal age to work in this state? Yes No
3. Are you of legal age to serve alcohol in this state? Yes No
4. As an adult, have you been convicted of a felony or pled guilty to a felony resulting in conviction,
which conviction has not been annulled, erased, expunged, vacated, set aside, sealed by the Court, or referred to a diversion program? Yes No If yes, please eplain:

Conviction will not necessarily disqualify an applicant form employment. Factors such as the age and time of the offense, seriousness and nature of the violation, and rehabilitation will be considered when making any employment decisions. If your answer is “yes,” please explain the circumstances surrounding such offense, including place, date, name of court, etc.

5. Have you ever been terminated from a job? Yes No
6. You want to work Full-Time Part Time Hours Per Week:
7. Do you presently have a job that you intend to keep? Yes No

8. In the table below, please indicate the days you CAN work. List the earliest times you CAN work. Please account for travel time to and from other obligations (e.g., sports, classes, meetings, etc.)

	MON	TUE	WED	THU	FRI	SAT	SUN
Earliest time in
Latest time out

9. Do you have reliable means of transportation to and from work for the days and times you are available? Yes No
10. Are you available to work holidays and weekends Yes No
11. We may conduct training on days, or at times, you have other obligations. Is your schedule flexible so you may come to training? Yes No
12. Are you, or do you plan to be, in school or taking courses at any time while working here? Yes No

13. Education

	Name and Location of School	Dates Attended	Last Year Completed	Major/Specialty	Degree Received
High School		N/A		N/A
College/Other		FROM: / TO: /

14. Do you agree not to disclose any confidential or proprietary information from Tucanos Brazilian Grill to any other company in the restaurant industry Yes No
15. Can you perform the essential functions required by the job for which you are applying either with or without reasonable accommodations? Yes No

16. Personal References (other than immediate family)

Name	Phone Number	No. of Year Known	Relationship

17. Work History (list your last 3 jobs)

	Current or Most Recent	Previous Job	Previous Job
Company Name
Address
Position
Job Duties (please describe)
Did you handle cash?	Yes No	Yes No	Yes No
Name and Title of Immediate Supervisor
Phone No. of Supervisor
Dates of Employment	FROM: / TO: /	FROM: / TO: /	FROM: / TO: /
Reason for Leaving
All Employers may be contacted to verify the information you provide	May we contact this employer prior to any offer of employment? Yes No	May we contact this employer prior to any offer of employment? Yes No	May we contact this employer prior to any offer of employment? Yes No

Please Read the Following Carefully and Submit Below:
I declare that I am qualified to perform all the duties of the position I am seeking. I also declare that the information provided in this Application is correct and that any false statements or omissions will justify my rejection for or dismissal from employment. I authorize the Company to conduct any necessary investigation regarding my background (including inquiries of me, prior or current employers, schools and other persons, institutions, or businesses, and checking motor vehicle records, court records and criminal records) as it relates to the position I am seeking and to the extent permitted by federal, state, and local law. I agree to complete the requisite authorization forms for the background investigation. I hereby release all parties from any liability in connection with the provision and use of such information. I will agree to a drug test, if permitted by law, to be paid for by the Company. (The results of any drug tests may, consistent with applicable law, be used to make employment decisions, including decisions relating to hiring and continued employment.) I understand and agree that this application for employment does not create a contract for employment or a guarantee of employment. I understand and agree that if I am hired, my employment is “AT-WILL” which means that my employment is for no definite period of time and either the Company or I may terminate the employment relationship with or without cause at any time, with or without advance notice. I understand that only the President may change the AT-WILL status of any applicant or employee and may only do so in writing. I understand that any policies and procedures implemented by the Company in the event of my employment do not alter my AT-WILL employment status. I understand that the Company, in its sole discretion, may at any time change its personnel policies and may also change my job description, responsibilities, wages, and benefits. The Agreement to Arbitrate accompanying this application must be read before submission in order for you to be considered for employment with the Company. If I am hired, I agree to abide by all company policies and procedures. I understand the failure to do so may be grounds for immediate termination. I HEREBY ACKNOWLEDGE AND UNDERSTAND THE NOTICE AS DESCRIBED ABOVE AND THAT IF I AM HIRED I WILL BE AN AT-WILL EMPLOYEE.