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Employment

Thank you for your submission.

Please provide your Email.

Personal Information

Please provide your First Name.

Please provide your Last Name.

Please provide your Street.

Please provide your City.

Please provide your State.

Please provide your Zip Code.

Please provide your phone number.

Please provide your Available Start Date.

Position Sought*

Bartender
Busser
Foodrunner
Hostess/Retail
Kitchen
Server

Please provide your Position Sought.

Please provide your Desired Pay Range.

Are you currently employed?

Education

General Information

Please list your areas of highest proficiency, special skills or other items that may contribute to your abilities in performing the above mentioned position.

Most Recent Employers

Please provide your Hire Date.

Please provide your End Date.

Please provide your Employer Name and Address.

Please provide your Salary.

Please provide your Position.

Please provide your Reason for Leaving.

References

Give below the names of three persons not related to you, whom you have known for at least two years.

Please provide your Reference's Name.

Please provide your Reference's Phone Number.

Please provide your Reference's Business.

Please provide your Reference's Years Known.

Please provide your Reference's Name.

Please provide your Reference's Phone Number.

Please provide your Reference's Business.

Please provide your Reference's Years Known.

Please provide your Reference's Name.

Please provide your Reference's Phone.

Please provide your Reference's Business.

Please provide your Reference's Years Known.

Other Information

What was your favorite and least favorite thing about your last job?

Describe your favorite menu item and favorite drink from your last job?

Do you need any time off?

Availability

What is your availability?* Please check the days of the week you are able to work.

Day Shift: 10am-6pm
Night Shift: 5pm-2am (latest)

Please correct your Availability.

Authorization

This field is required

By signing below, you acknowledge the following:

The above information, to the best of my knowledge, is true. I understand that any misrepresentation or willful omission of facts on my application for employment, regardless of when discovered, is cause for my immediate discharge. I further acknowledge that this application form must be completed fully in order for me to be considered for employment at De Lazy Lizard.

I authorize De Lazy Lizard to investigate my personal background, qualifications, and references. I understand that my employment is conditioned upon responses to reference checks which are satisfactory.

I hereby release from any liability all representatives of De Lazy Lizard for acts performed in good faith and without malice in connection with investigating and evaluating my application, including contacting any references available to de Lazy Lizard.

I further release from any liability all individuals and organizations who provide information to de Lazy Lizard in good faith and without malice concerning my qualifications.

Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a polygraph examination or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100.

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