Application

Name:

Enter Name

Email:

Enter Email

Home Address:

Enter Address

City:

Enter City

State:

Enter State

Zip code:

Enter Zip

Cell Phone:

Enter Phone Number

Home Phone:

Enter Phone Number

Are you prevented from being lawfully employed because of a visa or immigration status?

Yes

No

Are you 18 years or older:

Yes

No

As of JANUARY 1, 2015 Public Health Inspectors will begin enforcing the Illinois Food Handling Regulation Enforcement Act (410 ILCS 625), amended by SB1495 and passed into law on August 27, 2013, which requires Food Handler training in Illinois. If you work in a restaurant in Illinois and prepare, store, or serve food, handle food equipment, food utensils, or food-contact surfaces you must have a ANSI-accredited Food Handler certificate within 30 days of hire. This includes most restaurant jobs, including servers, chefs, head chefs, head cooks, cooks, bussers, bartenders, dishwashers, hosts, and hostesses who handle food and supervisors, such as the general manager or managers. Managers who already have a Food Service Sanitation Manager Certificate do not need a Food Handler certificate Do you have an Illinois Food Handlers Card?

Yes

No

Position you desire:

Enter Position

We are scheduled to open Fall 2018, Is your start date flexible based on our opening date?

Yes

No

Have you graduated from high school or have your GED?

Yes

No

How many years of higher education have you completed, if any and if you are still currently in school:

Enter years of higher education past high school

How many hours a week can you work?

Less than 20

More than 20

Please describe your current and and past two employment positions. Include business name, location, phone, and how long:

Enter Your Employment History

I certify that I have personally completed this application. I declare that the information provided in this employment application istrue and complete and I understand that any false information or significant omissions may disqualify me from further considerationfor employment and may be justification form my dismissal from employment if discovered at a later date. I agree to immediatelynotify Jexal's if I should be convicted of a crime while my job application is pending or during my employment, if hired.I authorize Jexal's to make an investigation of all information contained in this employment application and I release fromliability all companies and corporations supplying such information. I understand any false answers, statements, or implicationsmade by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. AT-WILL EMPLOYMENT AGREEMENTI understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employmentcontract between Jexal's and me. In addition, I understand and agree that if you employ me, in consideration of myemployment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time,for any reason, or for no reason at all. I understand that only an authorized manager or owner of Jexal's is authorized to change the employment-at-willstatus and such a change can only be done in writing. I have read, understand, and agree to the above and by clicking "Yes" below I agree and accept as my digital signature.

Yes, I agree with all the statements as stated in this application.

No