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Employment Application

Date * (Required)

Do you have reliable transportation? *

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Can you perform any reasonable request by a manger? *

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Can you walk or stand for 8 hours or more? *

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Can lift and carry up to 50lbs? *

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Can you Read, Write & Speak English ? *

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000-000-0000 or (000) 000-0000

000-000-0000 or (000) 000-0000

Available to start date * (Required)

Are you currently employed? *

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May we contact your employer? *

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Day & Night Shifts AVAILABLE. We are flexible & have a variety of start times. Mark days and shifts available: Day Shift - 10:30am-4:00pm Night Shift - 3:00pm-10:00pm Please enter "0" if you are unavailable for the shift listed, and enter the start time if you are available.

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY

Conditions of Employment AUTHORIZATION TO RELEASE EMPLOYMENT REFERENCE INFORMATION I understand Colorado Grille will attempt to verify statements made on my application and made during my employment interview. I authorize the Company to contact references and former employers, as indicated. I authorize my previous employers, or their designee, when contacted by Colorado Grille to verify the information given on this application and during the interview process. I authorize past employers, references and any other persons to answer all questions asked concerning my ability, character and previous employment record. I understand it is possible my prior employment records may not be accurate. Nonetheless, in consideration of the Company's review of this application, I release the Company and all former employers from any liability as a result of furnishing and receiving this reference informa-tion. I understand my failure to sign this reference release so the Company can contact references and make a full background check of my previous work history will be deemed interference with and a withdrawal of my application for employment. I agree a copy or facsimile of this authorization may serve as an original.

Date *

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